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Be an Honor Sponsor

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Payment options appear after this form. 

Please press the "Submit" button on the form above before making payment.  

Mail check and copy of this form to:

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Charlene Mixa

5048 Pinnacle Drive

Oldsmar, FL  34677

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For additional information, call:

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727.753.3111

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Submit the form above and pay by credit card:

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 by the ELW Drive for a Cure.  All rights reserved.  2019

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The ELW Drive for a Cure is a not-for-profit organization under the IRS Code 501(c)(3), whose Tax ID is 82-3828428.   All net proceeds from this event go to our designated charities.

 

FLORIDA REGISTRATION NUMBER CH60670:  ACOPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.