Costumed for a Cure Registration
Costumed for a Cure is a philanthropic event for companies aimed at raising funds for research and patient services for those affected by blood cancer. Your participation helps save lives.
Costumed for a Cure Registration Form
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Company Name
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Street Address
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City
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State:
MN
ND
SD
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Zip
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Company Captain(s) Name:
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Day phone
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Email
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Number of Employees
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Number of Stickers Requested
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Please select one:
Our company will participate on Thursday, October 31, 2013
Our company has selected an alternate day or dates
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Has your company participated in Costumed for a Cure before?
Yes
No
I Don't Know
What is your fundraising plan? Do you have any general comments?
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Indicates Response Required