AIDS FOUNDATION MIAMI VALLEY

Wark BIR

INTING: PRINTING DIMENSIONS

DESIGNS AL HIDALGO

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DAYTON OHIO

SATURDAY

Sept. 26, 1998

慈慈奶

(Please Print Legibly)

Name: Mr./Ms. (Circle One)

Home Address

City

I will walk/ride and raise money to fight HIV/AIDS and support people with HIV/AIDS. Please send my sponsor form right away!

Sex: Age:

Male

under 18 36-44

Female 18-25

26-35 45-55 ☐over 55

Apt. No.

State

Zip Code

LAZARUS

Glaxo Wellcome

United Airlines

Coca-Cola

Excellence In Motivation

Miller Brewing Papa John's Pizza

Premier Health Partners Stitching Post

1470 West

Abbott Laboratories

Bonbright Distributors

Roche Laboratories

Evening Phone (

Company/School/Team Name (if any)

In addition to my walking/riding. I can volunteer my time. Please call me.

This is my first Walk & Ride for AIDS

The Dayton Voice

Monell Communications

Z-93

WOTN-TV2

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