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MARCHERS PLEDCE FORM <br />Sote: Phase see step if 6 fur irntnu thm on i. ritmg cbeds <br />Marcher's nar.ic, <br />Mailing Address, <br />•_win____________ <br />.Ap;.<^ <br />State .Zip Code. <br />Area Code and Phone Numher Age Gender; .MD FD <br />Supponcr's Name (Supporter ’s Address Amount Collected <br />1. .\lv oun plcdcc Sameasalunt j <br />2^ <br />i. ' <br />1 <br />s: ...... 1 1 ...1 <br />6. <br />/. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />1.^. <br />16. <br />17. <br />18. <br />19. <br />20. <br />If necessan*. please attach a separate sheet with additional supporters. Total Dollars Coilected <br />{extra space for local sponsor lopos. etc.)ARCH FOR PARKS! <br />CK«C\tS -VO*. <br />n LOfoG- Lk<€ <br />D Holbrooe-bastbal/ <br />Ci 0^r0>>^O_ , <br />P ^y^orf 60 - O^l M 0»i <br />” D <br />□ Ot^ Mouop <br />n C\iv^ of M'^vve+yisia <br />a___ <br />a------- <br />U \:MR TTk herrh% Lno%.mfK inJ .. rc,ri^%. rtm jrJ forr^rf ^ ^ <br />Park* *ftd Corwnifion r APCA . it» U^al M rch Pjrtnm. <-ffutr* trj.un, ip.ni*. *pr»nmr». and fKfm.nrd Uo irtiue > .NFCA ). <br /><nm a!! Uia*r* lub.iit.r^ fincfuJiny liat»ilir\ fur $uorr.rv% ftt*} <Uim» da^ri^t. and cu»i» (In. ^n <nllecn»cl>. that ma» ».»• c»i*t of ma» hefcanr an»< m <br />cur.ncrt.or *.tk o' a« a rr%ult of .mn or m. ch.ld a pamcipat.on ,r ihc Mar.k for Parka fterpi to the eatem that an> auih Lo arc a J.'nt re^jh ..f th^ <br />neetiacmc or recl'ca* bchJMOf of'vPCS <br />IMPORTANT \lARCHtRSL*NDLR AGE Ih MIST ALSO HAM I lllS FORM SIGM D BS A PARENT OR Cl AROIAN <br />Signed______________________________________________________________ <br />Af y\/vvv I <br />mmn. «TV <br />National Parks and ^ <br />Conserv'ation Association <br />SuU-, Api^'l 2b,lQ^5 <br />BiVC^l or WotV: 4Ki LuCi U aa, <br />meU- Ob <br />Or S+obbS ©Oj<<y <br />iiA orono <br />MoYt.Vo'Pc tftU-' <br />C\4^ UaUs cf — <br />Lotn ^ Lcntf ______MO'A'.o <br />Oy OkO—_ rv>iA».4+rl 54a <br />Fii^TUSA.