Sunday August 19, 2007 Registration | |
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Any questions? Phone 401-952-2423 & 401-835-3064 Email dreasdream@aol.com Donate Online |
Print out this form and mail with check (made out to the Andrea Rizzo Foundation) to: The Andrea Rizzo Foundation 10 East Beach Road Charlestown, RI 02813 |
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NAME: _________________________________________ PHONE: ________________________________________ EMAIL:_____________________________ MAILING ADDRESS: Street (Please include street number or PO): ______________________________________________ City: ________________________ State: ______________ Zip: ___________ TEAM NAME (if applicable): _______________________________________________________________ TEAM CAPTAIN (if applicable): _______________________________________ What organzization or person will you walk to support or honor? ___________________________________________________________________ | |