www.iaff.org
St. Paul Firefighters
Local #21

Ride for WishesTM
In memory of Chuck Worden
to benefit the
Make-A-Wish Foundation® of Minnesota

Brought to you by:

Alcorn Beverage Company
J. J. Taylor
Companies, Inc.

Cash Donation Form

Ride for Wishes respects your privacy. We will not sell or give away your personal information.

We accept payment via
 Solution Graphics
First Name:       Last Name: 
Address:     Apt: 
City:     State:     Zip: 
Phone: ( ) -  Ext:
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Donation Amount: $