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Alzafar Shrine
Motor Patrol's SHRINE CHILDRENS HOSPITAL BENEFIT RUN
Poker Run Profits Benefit |
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First Out: 9:00 AM |
$6.00* Advanced Registration |
A man never stands as high as when he stoops to help a child. |
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VENDORS WELCOME! NO SETUP FEE! | ||||||||
Alzafar Shrine Center |
Prize Donations and
Sponsorships |
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SATURDAY, SEPTEMBER 7TH, 2002 | ||||||||
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Early Registration Ends September 1, 2002 THE UNDERSIGNED HEREBY AGREES NOT TO HOLD THE SHIRNE OF NORTH AMERICA, ALZAFAR SHRINE TEMPLE, ALZAFAR SHRINE MOTOR PATROL OR ANY OF THEIR OFFICERS OR REPRESENTATIVES RESPONSIBLE OR LIABLE FOR ANY DMAAGES OR ACCIDIENTS WHICH MAY OCCUR INCIDENT TO THIS EVENT. |
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NAME:______________________________________________________________________ |
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NAME TWO:_________________________________________________________________ |
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ADDRESS:___________________________________________________________________ |
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CITY: |
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STATE |
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ZIP |
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PHONE:_____________________________________________________________________ |
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CLUB(S):_____________________________________________________________________ |
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AMOUNT ENCLOSED: $_____________________ | ||||||||
SIGNATURE ONE:____________________________________________________________ |
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SIGNATURE TWO:____________________________________________________________ |
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Mail the above form to: C/O Dave Keinbaum 6348 West Prue, Lot 29 San Antonio, TX 78240 |
Shriners
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