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We Care Walk 2003





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BMC Walk - Volunteer Form


If you are interested in volunteering to help with the 2003 BMC Walk, please fill out the following form completely and press "Submit".

First Name:
  
Last Name:
  
Business Name:
  
Address 1:
  
Address 2:
  
City:
  
State:
  
Postal Code:
  

Home Phone:

  () -
Work Phone:
  () - ext.
Fax:
  () -
Email:
  




Optional, for demographic purposes only:

Date of Birth:
  

Sex:
   Male
   Female

Fundraising Goal (Average walker raises $100):
  $

I am interested in learning more about volunteer opportunities.
My company has a matching gift program.
My company is interested in sponsorship of the Walk.
I am interested in organizing a Walk Team.
I am an employee of Boston Medical Center. (Department: )
I have been treated at Boston Medical Center.

Please add any comments or suggestions:
  








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