LBRA - Booster Pledge


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CrestLogo_Plain Lake Brantley Rowing Association 

 

Rower Information

Rower:  

Date of Birth (MM/DD/YY): / /  

 

Address:   City:   

State:  Zip   

Rower Cell Phone:   Email Address:   

 

Parent/Guardian Information
Parent/Guardian:     

Relationship to Rower:   

Email Address:   

Home Phone:   Work Phone:   Cell:   

Best number to contact you: 

 

Parent/Guardian:       

Relationship to Rower:   

Email Address:   

Home Phone:   Work Phone:   Cell:   

 Best number to contact you? 

 

 

Audit Trail
Document name: LBRA - Booster Pledge
Unique document ID: 4eb09552d38d3e161abc5f8789684ba7321d530a
Status:
    August 3, 2015
    7:56 pm ESTDocument LBRA - Booster Pledge
    Uploaded by Jim - membership@lakebrantleyrowing.org
    IP: 99.99.23.69
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To make an offline donation, register your name and email address with this form and offline donation information will be emailed to you.

Donation receipts will be emailed to all participants for tax filings.

As a 501(c)(3) tax exempt non-profit organization, all donations to Lake Brantley Rowing Association are tax-deductible.