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2014 CYCLE OF HOPE PLEDGE FORM 3000 Steele's Avenue East, Suite 200 Markham, Ontario L3R 4T9 Tel. 9052482052 Fax: 9052482019 Toll Free: 1800 2674257 www.als.ca Donor Name Participant Name: Address:
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Please print clearly refers to writing in a legible manner without any smudges or unclear letters.
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Anyone who needs to provide information that requires clear printing is required to do so.
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