Fillable Optimist international Marche Optimiste pour la Campagne de lutte au cancer infantile

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Optimist international Marche Optimiste pour la Campagne de lutte au cancer infantile

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Marche Optimiste pour la Campagne de lutte au cancer infantile
Feuille de parrainage
Nom du club Optimiste parrain : ____________________________________________________________________
Nom du marcheur : _______________________________________________________________________________
Adresse municipale : ______________________________________________________________________________
Ville : ___________________________________ Province : ___________________ Code postal : _______________
Téléphone durant le jour : _____________________________ Téléphone en soirée : _________________________
Adresse de courrier électronique : ___________________________________________________________________
Objectif de collecte de fonds : ____________________$
Nom du commanditaire
Adresse Courriel Montant
du don
Postez vos dons à :
Optimist International Canada
À l’attention de : Marche pour la CLCI
5205, boulevard Métropolitain Est, bureau 200,
Montréal (Québec) H1R 1Z7
1-800-363-7151, poste 321 • Télécopieur : 514-721-1104 • Courriel : Genevieve.Meilleur@optimist.org
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Optimist international Marche Optimiste pour la Campagne de lutte au cancer infantile

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Completed 29 January 2020

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