Bedpan Run Pledge Forms Page 2
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1
2Donor First and Last
Postal
Donation
Method of
Street/Mailing Address
City
Prov.
Name
Code
Amount
Payment
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26
TOTAL
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