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Staten Island USBC Association

Bowling Against Breast Cancer


League Contribution Form

League Name_______________________________________ 2008 Donation $_________

Bowling Center____________________________________________________________

2009 Donation $___________

League Contact_____________________________________________ Title______________

Address__________________________________________________

City, State__________________________________ Zip___________

Phone #___________________ Email________________________________________

Tribute: (if you would like to dedicate your donation to someone)

______________________________________________

If you would like an acknowlegement sent, please list information below

Name__________________________ Zip_________

Address__________________ City, State__________

PLEASE TURN IN DONATIONS BY NOVEMBER 1, 2009


Staten Island USBC Association * 330 McBaine Avenue * Staten Island, NY 10309 * 718-966-0765

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