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OMAD SPONSOR INFORMATION FORM:

PLEASE RETURN THIS FORM WITH YOUR SPONSORSHIP DONATION:

 The form can be mailed to:

OMAD

c/o Jenny Tracy
1312 S Palmer Ave.
Bloomington, IN 47401

 

Name as it should appear on t-shirt:

 _________________________________________________      

Amount of donation: $ ________________________________
($200.00 minimum for sponsorship)

Name and address of person to send a thank you  and /or receipt to:

__________________________________________________

__________________________________________________

__________________________________________________

 

THANK YOU FOR YOUR SUPPORT!!!!