| Your name |
________________________________ |
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| Child’s name |
________________________________ |
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| Child’s class |
________________________________ |
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| ________________________________ |
________________________________ |
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| ________________________________ |
________________________________ |
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| ________________________________ |
________________________________ |
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| ________________________________ |
________________________________ |
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| ________________________________ |
________________________________ |
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| ________________________________ |
________________________________ |
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I wish to donate all proceeds / 50% of proceeds* (*please delete
as applicable) from the sale of these items to the Long Close
Social Committee. |
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Signature
________________________________ |
Date
________________________________ |
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