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| 2008 Madison Mariners Swim-A-Thon | ||||||
| Pledge Form | ||||||
| March 13, 2008 | ||||||
| Swimmer:_____________________________________ | ||||||
| Sponsor | Address | Pledge | # Laps | Total | Paid | |
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 | ||||||
| 6 | ||||||
| 7 | ||||||
| 8 | ||||||
| 9 | ||||||
| 10 | ||||||
| 11 | ||||||
| 12 | ||||||
| 13 | ||||||
| 14 | ||||||
| 15 | ||||||
| LAPS: goal for 8/U=50 laps, 9/10=75 laps, 11/12=100 laps, 13-17=150 laps | ||||||
| PLEDGES: per lap (for example, $1.00/lap x 50 laps=$50.00) or flat amount | ||||||
| CHECKS: make payable to “Madison Y/MPO” | ||||||
| Please submit all donations by April 4th. | ||||||