Massachusetts Citizens for Child

Sunday, April 27, 2008
Registration 10am - Stroll 11am

MAIL-IN or FAX-IN REGISTRATION

Download the PDF registration form click here

Print and complete form

Mail to: Massachusetts Citizens for Children, 14 Beacon Street, Suite 706, Boston, MA 02108

Fax to: 617-742-7808

PHONE-IN REGISTRATION

Call Massachusetts Citizens for Children: 617-742-8555

ON-LINE REGISTRATION

Register as a stroller     I cannot stroll but I want to donate

Your Name:

Phone:

Address:

Your Email:

City:

State:

Zip:

Organization:
(Enter "None" if not applicable)

Registration fee: (non-refundable)
$20 Individual walker registration
Donation of: (non-refundable)
$20    $50    $75    $100     Other Other (please specify)

FIRST, REGISTER by clicking this button:

SECOND, SEND PAYMENT:

Online through PayPal (CLICK HERE)

Check made payable to:
Massachusetts Citizens for Children, 14 Beacon Street, Suite 706 - Boston, MA 02108

Sponsor my friend

Your Name:

Phone:

Address:

Your Email:

City:

State:

Zip:

Friends Name :

Donation of: (non-refundable)
$20    $50    $75    $100     Other Other (please specify)

FIRST, REGISTER by clicking this button:

SECOND, SEND PAYMENT:

Online through PayPal (CLICK HERE)

Check made payable to:
Massachusetts Citizens for Children, 14 Beacon Street, Suite 706 - Boston, MA 02108

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