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Number of registrations Total
Single Registration ($30) __________________ __________________
Bronze Sponsor ($100) __________________ __________________
(1 ticket)
Silver Sponsor ($200) __________________ __________________
(2 tickets)
Gold Sponsor ($300) __________________ __________________
(4 tickets)
I am unable to attend but would like to support
the CCRCC with my generous donation _________________
Name(s): ______________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
Phone # _______________________ Email address: ________________________________
Mail this portion with payment to:
Carroll County Republican Central Committee
P.O. Box 2108 Make check payable to:
Westminster, MD 21158 Carroll County Republican Central Committee
Check # ________ Check Amount $____________
Authority: Carroll County Republican Central Committee, David Jones, Treasurer
*****
Kevin Dayhoff Soundtrack: http://kevindayhoff.blogspot.com/ = http://www.kevindayhoff.net/ Kevin Dayhoff Art: http://kevindayhoffart.blogspot.com/ or http://kevindayhoffart.com/ = http://www.kevindayhoff.com/ Kevin Dayhoff Westminster: http://kevindayhoffwestgov-net.blogspot.com/ or http://www.westgov.net/ = www.kevindayhoff.org Twitter: https://twitter.com/kevindayhoff Twitpic: http://twitpic.com/photos/kevindayhoff Kevin Dayhoff's The New Bedford Herald: http://kbetrue.livejournal.com/ = www.newbedfordherald.net Explore Carroll: www.explorecarroll.com The Tentacle: www.thetentacle.com
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