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Registration
(
Registro )
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& Letters
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Map!
PDSSN
Info!
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Tee
Shirt Information
Print
this form!
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Please
complete your shirt order, print out, and mail in with your
pre-registration form.
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Your
Name:
Size
Adult
XXL
XL
Large
Medium
Small
Child's
Large
Medium
Small
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___________________________
# of Shirts
_________
_________
_________
_________
_________
_________
_________
_________
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____Additional shirts
@ $8.00 = $ ______________
PDSSN Buddy Walk Tee
Shirts are guaranteed to those pre-registered by the deadline. Please
complete this tee shirt order form and send it with your registration
by September 12, 2008.
Only a limited number of shirts will be available for sale the day
of the walk.
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Our
organization is strictly a volunteer one with no overhead. All gifts are
tax deductible through The PDSSN #20-3131948.
Sherry
Jeffries and Denise Collins
4045 University Parkway, Winston-Salem, NC 27106
336-714-9120
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Please Support
our Sponsors!
2007
Sponsors
(Platinum)
Jim & Helen Johnson
Charles A. Hines & Son
Salem Sports, Inc.

(Gold)
PENTA
(Piedmont Ear, Nose & Throat Associates)


Piedmont Triad Anesthesia, P.A.

Blue Rhino
(Silver)
Kids in Motion Therapy Services
Battery Tree
BB&T
The Bashores
Jeffrey Johnson
Wal-Mart
Dr. Tamison Jewett
ACW Management Corp
Fuller Architecture, Inc.
Corning Cable Systems
Bayada Home Care
(Bronze)
Woodard
& Company Asset Management
Terry
& Debbie Kennedy
The Douglass's
Dr. Kurt Klinepeter
McNeely Pest Control
A Divine Touch
Otis A. Jones Surveying Co.
Chuck & Lucie Patton
Keith & Barbara Kennedy
Jack & Lois Petit
Robert & Mora Lane
Reid & Faye
London
Keith
& Robin Tucker
Donna Tucker
The Myracle Family
Wayne Cannon Physical Therapy
The Hoffmans
The Martins
The Lents
The Tuckers
The Landreths
Madyson & Brady Kennedy
Hal McKinnon, Jr., D.D.S.
Blue
Ridge Women's Center
ChelHan
Staging Video Duplication
Lindley
Habilitation Services
Donna Skultety
Dr. William VanDyke, Jr.
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