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Please register by Friday, July 9, 2010.

Kick Cancer

Package Name	Amount	Quantity	Subtotal
Attend Clinic - "Kicking, Snapping, Passing, Receiving"

Minimum Donation to Attend Clinic	$50.00		$0.00

Please note, the $50 is the minimum donation to attend. If you would like to donate more, please add it to the "Other Donation Amount/Cannot Attend" section below.

Other Donation Amount/Cannot Attend:

Total:

$0.00

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