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Please initial here to confirm Contributions can be made online at www. olhsa.org/walk4warmth or checks can be made out to OLHSA - Walk for Warmth and mailed to OLHSA Livingston Office Livingston County. Olhsa.org/walk4warmth Name Company name Address City State Zip Email address Phone number Sponsor level Platinum Silver Bronze Gold Sponsors are also encouraged to contribute a door prize valued at 25 or more I agree the my contribution will only qualify for sponsorship benefits if this form...
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