THE NEW YORK
CITY DEPARTMENT OF EDUCATION
EUGENIO MARIA DE HOSTOS
INTERMEDIATE SCHOOL 318
Phone (718) 782-0589 /
Fax (718) 384-7715 / IS318.com
STUDENT NAME: ________________________ CLASS: ___________
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I.S.
318 FAMILY FLAT FEE SPONSORSHIP Checks
should be made payable to: I.S. 318 |
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I.S. 318 FAMILY DONATION |
PARENT OR GUARDIAN
NAME: |
PLEDGE Mile or Lap (eg. $1.00/Mile) |
Maximum Pledge |
Amount Collected from Sponsor |
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$20.00 __________ $30.00___________ $50.00___________ $75.00___________ $100.00__________ OTHER AMOUNT $______ |
____________________ ______________________ |
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FLAT FEE
SPONSORS Checks
should be made payable to: I.S. 318 |
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Please Print name and address of sponsor: First Name Last name Street and Apt. City, State, Zip code |
PLEDGE Mile or Lap (eg. $1.00/Mile) |
Flat Fee Pledge |
Amount Collected from Sponsor |
|
1 |
_________________________________________ _________________________________________ ______________________Phone: ( )___________________ |
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2 |
_________________________________________ _________________________________________ ______________________ Phone: ( )___________________ |
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3 |
_________________________________________ _________________________________________ ______________________ Phone: ( )___________________ |
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STUDENT
NAME: _____________________ CLASS: _______
|
FLAT FEE
SPONSORS Checks
should be made payable to: I.S. 318 |
||||
|
|
Please Print name and address of sponsor: First Name Last name Street and Apt. City, State, Zip code |
PLEDGE Mile or Lap (eg. $1.00/Mile) |
Maximum Pledge |
Amount Collected from Sponsor |
|
1 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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2 |
_________________________________________ _________________________________________ _______________________ Phone: ( )__________________ |
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3 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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4 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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5 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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6 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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THE NEW YORK
CITY DEPARTMENT OF EDUCATION
EUGENIO MARIA DE HOSTOS
INTERMEDIATE SCHOOL 318
Phone (718) 782-0589 /
Fax (718) 384-7715 / IS318.com
STUDENT NAME: ________________________ CLASS: ___________
|
SPONSORS Checks
should be made payable to: I.S. 318 |
||||
|
|
Please Print name and address of sponsor: First Name Last name Street and Apt. City, State, Zip code |
PLEDGE Mile or Lap (eg. $1.00/Mile) |
Maximum Pledge |
Amount Collected from Sponsor |
|
1 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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|
2 |
_________________________________________ _________________________________________ _______________________ Phone: ( )__________________ |
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3 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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4 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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5 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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|
6 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
|
|
|
STUDENT NAME: ________________________ CLASS: ___________
|
SPONSORS Checks
should be made payable to: I.S. 318 |
||||
|
|
Please Print name and address of sponsor: First Name Last name Street and Apt. City, State, Zip code |
PLEDGE Mile or Lap (eg. $1.00/Mile) |
Maximum Pledge |
Amount Collected from Sponsor |
|
7 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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8 |
_________________________________________ _________________________________________ _______________________ Phone: ( )__________________ |
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9 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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10 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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11 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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12 |
_________________________________________ _________________________________________ _______________________ Phone: ( )___________________ |
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