JERICHO WARMING HUT LOG PLEDGE FORM

Your Email Address:
Repeat Email Address:
Contact Name:
Company/Organization Name:
Address Line 1:
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 Yes! Please Reserve a Warming Hut log in my name with the following message.
(Pledge Amount = $100.00. Maximum 3 lines with 25 characters per line)
LINE 1:
LINE 2:
LINE 3: