2003 TROPHY DONATIONS

(Print out this form, fill out and mail to address below)

Your kind contribution will be greatly appreciated

Benefactors - Donations up to $99.00
Patrons - Donations of $100.00 or more

Your contribution must be received by September 1, 2003 to be published in the catalog. Please print this line as you wish it to appear in the catalog:

__________________________________________________________________

Make checks payable to GDCA SE - Trophy Fund

Mail payment and this completed form to: Jay Miller, Trophy Chairperson, 217 Sandy Creek Rd., Fayetteville, GA 30214. Phone: 770.460.1273. Email: Boo@GreatDaneBoudreaux.com


Name: __________________________________________________________

Address: ________________________________________________________

City: ____________________________________________________________

State, Zip: _______________________________________________________

Phone: _________________________ Email: __________________________

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