2009 World Famous Pumpkin Race-A-Thon

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Sponsor MB Confidential for the Kids in the 2009 World Famous Pumpkin Race-A-Thon

Join in the Race to Keep Our Schools Strong!

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt which will be sent to the email address that you provide.

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* First Name:
* Last Name:

Contact Information


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* City:
* Country:
* * * State:
* Zip Code:
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Cell Phone Number:	( )
* Email Address:

Allow Manhattan Beach Pumpkin Race Festival to contact me by email.
I give Manhattan Beach Pumpkin Race Festival permission to contact me by mail (post).

May we list your name along with the other participants? Display Name
May we list your pledge amount along with the other participants?

Payment Information

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Payment Method:	One Time Payment Credit Card
* * Donation Amount:
* Processing Date:
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* Card Security Number:	Where is my Card Security Number?
* Cardholder's Name:
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* Bank Name:
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* Cheque Number:
* Transit number:
* Account Number:

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