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Name: Address: City: State: Select One AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zip:  Class of : Email: Phone: I plan to attend the Alumni Night Game and plan to donate at the gate. yes I do not plan to attend but am sending a donation to help support the Elks Football Alumni Association and its endeavors. yes PLEASE MAKE CHECK PAYABLE TO: The Elks Football Alumni Association c/o John Spiewak 7205 Forest Brook Blvd Centerville, OH 45459 Comments: