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PLEDGE FORM 21st ANNUAL MSP POLAR BEAR PLUNGE January 28th 2017 Sandy Point State Park To register day- of simply bring this pledge sheet to the event To pre- register visit www. plungemd. com or call 410- 242- 1515 x503 Feel free to copy this form to add additional donors Title First Last Address City State Zip Email Phone DOB / / Sweatshirt Size circle one S M L XL XXL XXXL Size ONLY guaranteed with pre- registration Total Raised DONOR NAME ADDRESS...
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