CRC POLAR BEAR PLUNGE 2014 PLEDGE SHEET

SATURDAY, FEBRUARY 15TH,

CHEBEAGUE ISLAND BOATYARD

Name:  ____________________________

 

NAME and ADDRESS

PHONE

DONATION

CHECK/

CASH

PAID?

ex. Jane Doe 382 North Rd.

Chebeague Island, ME 04017

5068

$100

cash

yes