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Benefit for the National Fire Dog Monument

Mouse Races Registration Form

 

Date of Event: Friday, May 4, 2012 Doors open 6:30 p.m., Races start at 7:00pm

Registration Fees: $15 per attendee or $100 for a table of 8 (save $20!)

(Table registration collected as one payment)

Sponsorship Opportunities:

Get your name out there and earn Bragging Rights all at the same time!

(No need to be present to sponsor a race or a mouse)

 

SPONSOR A RACE: Race sponsors will have their logo/name included in the race program and on awards. Only 7 Races so get your sponsorship turned in ASAP! (Please forward logo/name/payment by Friday, April 27)

 

Race Sponsorship: $125           ________Yes, give me a race!

 

MOUSE SPONSOR: Mice sponsors will be listed in the race program. There are 6 mice per race. (There is no limit to the number of mice you can sponsor)

 

Sponsor ________ Mouse/Mice at $10.00 each

Mouse/Mice Name(s): _____________________________________

 

ADDITIONAL SPONSORSHIPS: Refreshment sponsors will have their logo/name included in the race program and on the wall at the refreshment center.

(Please forward logo/name/payment by Friday, April 27)

          

            Refreshments Sponsor $150       ______Yes, this one’s on me!

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Payment All registration and sponsorships must be pre-paid prior to the event.

Make check out to NFDM-BO                                                Check Enclosed $____________ Amount

            Contact Information: Name: ______________________________________________

            Company: ____________________________________________________________

            Address: ___________________________________________________________           Email: _____________________________________

            Phone: ________________________

501c3 Number provided upon receipt of donation...


Andy Stowers

C/o National Fire Dog Monument

2608 Angle Gate Circle

Dardenne Prairie Mo 63368

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314-575-8554 mobile

Joe Zuccarello

℅ National Fire Dog Monument

2616 Angle Gate Circle

Dardenne Prairie, MO 63368

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636-614-6671 mobile

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About Us

More than 2,500 times every year the firefighter/EMTs of the Cottleville Fire Protection District respond to emergency calls from residents of Cottleville, Weldon Spring, Dardenne Prairie, St. Peters, and O’Fallon, Missouri. The District covers 38-square miles of southwestern St. Charles County and operates four fire stations. Firefighters respond to a variety of emergency situations including fires, hazardous materials incidents, motor vehicle accidents and medical emergencies.

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