Become A Part Of Our Success!
Donations & Contributions Are Now Being AcceptedFor a Contribution of $25.00 or more: Receive T-Shirt along with your Name & Year of contribution
will be posted on the front of the Michigan NSA/BPA Hall of Fame website page.
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Yes, I would like to make a
contribution to the Michigan Hall of Fame! |
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Please Print Clearly and Remit With Your Contributions. |
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| Name: | |
| Address: | |
| City: | |
| State/Zip: | |
| Ship to Address: (if different than above - CANNOT SHIP TO P.O. BOX ADDRESS) | |
| Day Phone: Email: | |
| For a Contribution of
$25.00 or more:
Receive T-Shirt along with your Name & Year of contribution will be posted on the front of the Michigan NSA/BPA Hall of Fame website page. |
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Shirt Size: Date Submitted: |
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| PRINT
INFORMATION to be posted on the website IF DIFFERENT than YOUR NAME: In memory of Special Thanks to In Appreciation of |
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Please INCLUDE THIS FORM & make Check Payable to:
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