OMC

3624 Blackhawk Rd

Rock Island, IL 61201

 

Sign Up for Children’s Therapy Trivia Night


Please just fill out the form below and someone will contact you as soon as possible.

*First Name
*Last Name
*Phone Number ()
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*Email Address
Address

*City
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*Table of Eight
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Sponsor Donation
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Gold Sponsor ($500)
Silver Sponsor ($250)
Table Sponsor ($100)
Raffle Item for Donation

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Checks Payable to: Children's Therapy

Checks may be mailed to:  Office Machine Consultants, 3624 Blackhawk Road, Rock Island, IL 61201

Thank you for your support of Children’s Therapy & "iCan Shine" Bike camp!!