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Choose Event *
Central PA Walk (4/22/18) South Jersey Walk (5/20/18) Delaware Walk (6/24/18)

Please select the event you (or the fundraiser) will be participating in.
Team Name (if applicable):
Name: * First Last
Phone Number: * ### - ### - ####
Email Address: *
Total Number of Signs Earned to Date
(1 sign per $250 raised): *
Sign Wordage (please indicate the wordage and # of signs for each unique design): *

Please type in what you would like your Course Marker Sign(s) to read. The messages can be in honor or a loved one, in memory of a loved one, an encouraging message to an individual, or an acknowledgment of a donor (message or logo). If you would like to include a logo on a sign, please mention it in the text box and then email the logo to info@lupusloop.org. Signs will be generated by a graphic designer.
Comments or notes:
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