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Owen McCarty’s WFCIII

Donation Form

Please make all checks or money orders payable to ACS-Camp Sunrise

Pledge                                Total

1c per mile                        $27 _____

1.5c per mile                     $40 _____

2c per mile                        $54 _____

Other                                $     _____

Please send your donation to:

American Cancer Society-Camp Sunrise

Attn. Carol Sharp

8219 Town Center Drive

P.O. Box 43025

Baltimore, MD 21236