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PLEDGE FORM
in Memory of Professor Dr. Michael Milde
Name ___________________________________________________________________________
Address _________________________________________________________________________
City _______________ State/Province _______________ Postal Code _____________________
Telephone___________________________ Email_______________________________________
I wish to make a pledge to the % I A S L G e n e r a l F u n d 0 2 8 0 2 , i n m e m o r y o f P r o f e s s o r M i c h a e l M i l d e
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Name on card__________________________________________________________________
Card number________________________________________Exp._______________________
Cardholders signature_______________________________________________________
Signature for pledge______________________________ Date________________________
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