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Miles For Smiles BUSINESS Donation!
Thank you for supporting UTD PDA and TAMSOD Social Services Fund! We love you!
Please fill this form out for EACH sponsor you contact. Thank you!
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Member First and Last Name:
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Your answer
If you do NOT attend UTD- list your university!
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I attend UTD
Other:
Sponsor:
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Your answer
Address:
(Ex. 1234 ABC Street Richardson, TX, 75080)
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Your answer
Sponsor Contact Name:
*
Your answer
Sponsor Phone #:
(DO NOT INCLUDE DASHES)
(Ex. 1234567890)
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Your answer
Date:
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MM
/
DD
/
YYYY
State of Progress:
(When your state of progress updates, please contact Jennifer Bernabe via email:
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Accepted
Denied
Waiting for Response
Waiting for Payment
Donation:
- Monetary: $ Amount (ex. $200)
- Item: $ Value & Item Description
*
Your answer
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