Fassett Farm Ride-A-Thon Donation Form

Ride-A-Thon Donation Form

Ride-A-Thon 2008 is Saturday October 18th, 2008. Please mark your calendars.

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To request a review, quotation, or other assistance, please fill out the form below (fields with an asterisk * are required). All information provided to us shall remain confidential.

We will never sell, trade, or exchange email addresses or other information with third parties unless specifically authorized by the client.

*Submitter's Name:
Company:
Title or Position:
Address:
City:
State:
Zip Code:
*Submitter's Phone:
Fax:
*Submitter's Email:
*Donator's Name:
*Item Donated:
*Donator's Company:
*Donator's Phone:
*Donator's Email:
Businesses Approached for Ads:
Comments or questions:
To help to prevent robot-triggered submissions, please enter the case-sensitive letters and numbers in the image below into the security text field (must match): Security Image: Security Text:

22532 Bowsher Road • Cridersville, OH 45806
PH: 419-657-2700 • Fax: 419-657-2887 •