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United Way of Rutherford and Cannon Counties
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Please complete a form for each team or individual.  Click here for a list of projects to choose from.

2012 Days of Action Team Registration
 
     
2012 Days of Action Team Registration
*Company (Team) Name
*Team Captain Name
*Number of Team Members
*Team Captain Email Address
*Team Captain Phone Number
*Mailing Address
*Project Code
*Number of Small T-Shirts
*Number of Medium T-Shirts
*Number of Large T-Shirts
*Number of XL T-Shirts
*Number of XXL T-Shirts
*Number of XXXL T-Shirts
Additional comments
(Items marked * are required)

 
2012 Days of Action Individual Registration
 
     
2012 Days of Action Individual Registration
*Name
*Email Address
*Phone Number
*Mailing Address
*Project Code
*T-Shirt Size
Additional Comments
(Items marked * are required)

 
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