ALS Extravaganza Sponsor Form

Sponsor Name:
Address:
Phone:
Fax:
Contact:
Sponsorship Amount:

Please make checks payable to ALS of Utica and mail to the address below. 
Final payments requested no later than October 1, 2003.  Partial payments accepted.

ALS of Utica
c/o Advanced Tool
9169 State Route 49
Marcy, NY 13403
Phone:  315-768-8502
Fax: 315-768-4807

Thank you for making a difference

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