Polar Bear Plunge 2005
To benefit Human Resources of the Hamptons

Make Checks Payable to: Human Resources of the Hamptons

Sponsor Form

Team Name:_____________________

Team Member:__________________
 
Sponsor Name Sponsor Address Tel Number Amount Donated

Receipt:
Yes/No

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Total $