2008 Trophy Donation Form

Name: __________________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ___________________     Zip:   _________________________

Email: ____________________________________________________

Amount of Trophy Donation:  $____________ USD

Payment must be made in US Funds and drawn on a US bank. There will be a $25.00 service charge for any check not honored by the bank.

Print, complete, and mail this form along with your check/money order made payable to DPCA to:

Sharon Pflueger
Trophy Chair
1302 W. Sandy Ridge Rd.
Monroe, NC 28112 USA

Mail Deadline for Trophy Donation is September 10, 2008.  All donor names must be turned in by September 15, 2008 for catalog deadline!!