Fall Fundraiser

http://www.shanashroll.com

Please join us on

Wednesday, October 19, 2011

from 5-7:00 PM at the

Grand Rapids Yacht Club

740 Lakeside Drive SE, Grand Rapids, MI 49506

suggested donation:

$50/individual * $100/couple * $500/host

Host Committee:

Peter Secchia

Terri Lynn Land and Dan Hibma

Tim and Caroline Doyle

Rick and Kelli Westrate

Hal and Amy Ostrow

Keith Brophy and Shelia Premo Brophy

County Commissioner Jim Saalfeld

Tina Hessler * Matt Hall

County Commissioner Mike Wawee, Jr

GR City Comptroller Donijo DeJonge

Contribution Amount

$25
$50
$100
$250

$500
$

Personal Information

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Employment Information

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Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

I want to publish my name to the Fall Fundraiser giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

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Paid for by Shana Shroll for County Commission

1612 Woodward Ave SE

Grand Rapids, MI 49506

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