PUSHUPS FOR PEACE

Saturday, April 30, 2011

St. Ambrose University in Lee Loman Arena

Guinness World Record Attempt & Fundraiser for:

Quad City Childrenís Therapy Center; Kids Against Hunger & Make a Wish Foundation

 Make checks payable to: The Morning Optimist Club

PUSHUP PARTICIPANTíS SPONSOR FORM:

 

NAME____________________________________________

 

PHONE # _________________________________CELL # ______________________

 

Sponsorís Name†††††††††††††††††††††††††††††† Pledge Amount†††††††††††††††††††††† Cash or††††† Check #

 

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TOTAL††††† _______________†††††

 

Sponsor want a receipt? Call John Morrow @ 309.764.1929

For More Information

 

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