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a <br /> ER�Go <br /> MISS TEEN Of AMERICA <br /> SCHOIrARSHIP and RECOGNITION <br /> PAGEANT <br /> 1. Please PRIM'the name of the sponsoring organization in the blank indicated. <br /> 2. Check(s) should be made out to MISS TEEN OF AMERICA PAGEANT. <br /> 3. Return this form along with check from sponsor. One form for each sponsor. DO NOT STAPLE <br /> CHECK TO FORM. <br /> Sponsorship in the amount of lAMO[IYII for <br /> �c�r a 1, f �r- of S f '��,/� n u <br /> • (NAME OF CANDIDATE) (HOME TOWN AREA) <br /> in the Miss Teen of America Pageant. <br /> Name of Sponsoring Organization <br /> Complete Address of Sponsor <br /> Signature of Individual Representing Sponsoring Organization <br /> Date <br /> **DO NOT STAPLE checks to form. <br /> Please detach and leave with your sponsor. <br /> Sponsorship Receipt <br /> Received.from 11 Amount $ <br /> Representing <br /> (CANDIDATES NAME) <br /> Signed <br /> • 'THANK YOU! � <br /> Warren Alexander <br /> National Director <br />