Home		11th Annual Wish Convoy
		Saturday, Sept. 11th, Bedford Fairgrounds
	Bring this form with your collected donations to registration on the day of the Convoy.  All checks should be made out to "Make A Wish Convoy".
Trucking Company
Driver Name
Home Address
Phone
E-Mail
	In order to be considered in leading the convoy, ALL monies must be turned in with this Pledge Form before the convoy starts.
I will help make a Wish come true with my pledge			Address					Amount Paid for Participating
Name
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				Total Pledge Money Collected				$
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