|
World's Largest Single Day Car
Show ! |
|
 Cruisin'
For A Cure |
|
8th Annual Cruisin For A Cure |
|
Saturday, Sept 27, 2008, Orange County Fair & Expo
Center, Costa Mesa, CA |
|
All proceeds to support Prostate Cancer Research at
the UCLA Jonsson Cancer Center |
|
Kingpins Pledge Form |
|
Kingpins Sponsor: Grand Prix Tours
 |
|
Participant's Name: |
|
|
Address |
|
|
City, State, Zip |
|
|
Phone |
|
Email |
|
|
Make checks payable to "Jonsson Cancer Center".
Checks and Credit Cards, No Cash. All pledges are tax deductible |
|
Sponsor's Name (Please Print) |
|
Phone |
Credit Card Number
AMEX, Disc, VISA, MC |
Exp
Date |
Pledge
Paid P |
|
Address |
|
Email |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
|
Completed Form (s) and all Donations are due by
September 10, 2008,
to qualify for the Kingpins Car Club. |
This Page Total |
|
|
|
Additional Page(s) Total |
|
|
|
Total Pledges |
|
|
|
www.cruisinforacure.com 949-752-5115 ext.10 email dbaker52@aol.com |
Page ___ of ____ |
