Name
Phone
Address
City State Zip
Amount    Willing to serve on committee? Yes       No
IN MEMORY OF, or TO COMMEMORATE

All contributions are tax deductible.

Please make checks payable to Firelands Area Runners Club.
Please put "SCHOLARSHIP FUND" in the check's memo line.

Mail to:
Chuck Willis Jr.
713 Walt Lake Trail
Sandusky, OH 44870

Fundraising ideas: (only the first 10 lines will print)

Comments: (only the first 10 lines will print)

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