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Name *

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Last

Business Name *

Address *

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Phone Number *

Email *

I would like to be an *

Annual Meeting Sponsor

I would like to donate a door prize for *

Annual Meeting

Star Spangled Heights Car Show Sponsor

Star Spangled Heights Car Show

Spooktacular Car Show Sponsor

Spooktacular Car Show

Community Christmas Tree Lighting Sponsor

Enclosed is a check in the amount of *

*Required

Invoice me for *

Please make checks payable to: Wayne Township-Huber Heights Historical
Society. The Wayne Township- Huber Heights Historical Society is a 501c3 Nonprofit organization.

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