Mail in Adoption Form
Lake Murray Kiwanis
2nd Great Duck Race
September 15th at Lake Murray, San Diego ~
Sponsored By Drew Ford La Mesa;
RCP; Macy’s; Dixieline; Frazee Paints; & Many Others
The Lake Murray Kiwanis Club has Duck Adoption papers for the
2nd
Great Duck Race at Lake Murray Street Fair on September 15 th, 2007
Plan to adopt our ducks and have them race to win one or more of these great prizes!
To Adopt A Duck, Please Print Form fill out the Form below
Mail the form with your donation enclosed to
Lake Murray Kiwanis Foundation,
P.O. Box 19283,
San Diego, CA. 92158-0283
For more information call 619-449-DUCK, 619-449-3825 or visit www.lakemurraykiwanis.org
Prizes for the Event
New ~ 2007 Ford Ranger, Drew Ford La Mesa
Mission beach Vacation Condo One Week (based on availability sleeps 4-6 people)
Cuyamacha Lake Water Front One Week Stay & Boat Rental ( day of choice)
$500.00 “Shopping Spree” Macy’s
$500.00 “Gift Card” Dixieline Lumber
$300.00 “Gift Certificate” at Frazee Paint
And Many More
Donor Information Adopt-A-Duck Thank you for your generous donation.
| Group | _______________________________ | Key #; K05399 | |
Name |
First___________________________ |
Last____________________________ |
|
Address |
_______________________________ |
________________________________ |
|
City |
_______________________________ |
State______ |
ZIP Code__________ |
Phone # |
(____) ___-_________ |
Phone (business)(____) ___-________ |
|
Fax # |
(____) ___-_________ |
E-Mail__________________________ |
|
| _ | |||
Adopt ~A ~ Duck to Win~ A ~Truck |
||||
| Duck Packs | ||||
Single Ducks (1 Duck) |
______ | Single 1 Duck @ $5 each |
$ _____ |
|
Big Quacks ( 5 Ducks |
______ | Big Quacks 5 Ducks @ $25 each pack |
$ _____ |
|
Quackers Pack (10) |
______ | Quackers 10 Pack-10 Ducks @ $50 each pack |
$ _____ |
|
Flock of Ducks (20) |
______ | Flock of Ducks - 20 Ducks @ $100 each flock |
$ _____ |
|
| Super Flock (50) | ______ | Super Flock - 50 Ducks @ $250 each Super flock | $ _____ | |
Total # of Ducks |
______ | Total Amount Paid |
$ _____ |
|
I would like to pay by |
______Cash _______Check to LMK Foundation ______ Credit Card ______ |
|||
Credit card type |
______ Visa _______Master Card ______ American Express |
|||
Credit card number |
______________________________________ |
Expiration date__________ |
||
Print Name |
________________________________________________ |
|||
Authorized Signature |
________________________________________________ |
|||
Sponsoring Organization |
________________________________________________ |
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Thank you for your support