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Last modified: March 15, 2008
 

LONG ISLAND RIDING FOR THE HANDICAPPED, ASSOCIATION

October 19, 2008  - 30th Anniversary Ride & Walk A-Thon

 

We hope you can continue your support for the LIRHA Program.

Donations Can Be Sent With This Pledge Sheet Below.  We thank you for all your support!

Minimum Pledge of $25. is greatly appreciated to help offset expenses.

                        Mail donations to: L.I.R.H.A. P.O. Box 352 Glen Head, NY  11545

                                        Make checks payable to L.I.R.H.A

Name:  
Address:  
City:  
Zip:  
e-mail address:  
Telephone:  
Total Donation Amount:  

Please Print Legibly - So We Can Get Your Donation "Thank You" Card To You.

Signature: Date:

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