Bright Hope's 40th Anniversary Walk for Life T-Shirt Pick-Up Form

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We're so excited that you have registered to be a part of Bright Hope's 40th Anniversary Walk for Life. The first 300 people who register will receive a free t-shirt. Please complete this form to let us know when and where you can pick up your t-shirt so we can have it ready for you. Thank you!

If you have questions, please call 610-821-4000 and ask for Amity.

Email *

Your First & Last Name *

Team Name (If Applicable)

I am Registered to Walk... *

In-Person

Virtually

Best Phone Number to Reach You *

T-Shirt Size (Please mark the size you indicated when you registered) *

XXL

If you are picking up T-shirts for your team, please list their names here and t-shirt size given when registered.

If Someone is picking up your t-shirt for you, please put their name here

# of Bright Hope Praise & Prayer Cards You'd Like to Pick Up (If applicable)

# of Walk for Life Sponsorship Forms You'd Like to Pick Up (If applicable)

Please Choose a Pick-up Date & Location *

Thursday, April 22 - Allentown Clinic, 1034 Hamilton Street (9am-3pm)

Monday, April 26 - Allentown Clinic, 1034 Hamilton Street (9am - 3pm)

Tuesday, April 27 - Easton Clinic, 2204 Northampton Street (10:30am - 2:30pm)

I will pick up my t-shirt at the Walk for Life in person on May 1st

None of these dates and times work for me

A copy of your responses will be emailed to the address you provided.

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