| Optional Sponsor Form |
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| Kevin T. Szocik Memorial Gate P.O. Box 11 Lunenburg, MA 01462 [email protected] |
| Name _____________________________________ |
| Amount Paid ____________________ |
| _________________________________________________________ |
| _________________________________________________________ |
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| _________________________________________________________ |
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| Walker's Name____________________________________________________ |
| Total______________ |
| Kevin's Gate Memorial Walk |
| Checks can be made payable to the Kevin T. Szocik Memorial Scholarship Fund |
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