Pie AutoResponder

Lou Wilkinson HD Convention Scholarship Fund

Pie AutoResponder

Donation Pledge Responder

2004 HDSA National Convention

Pie-In-The Face Donation

YES, I want to see someone get a pie-in-the-face at the 2003 HDSA National Convention!!! I understand I get one vote for every dollar I donate so please distribute my votes as shown below!

* Required Fields

*Date:

*Name:

Address:

City:

State: Zip Code

*Email Address:

*I hereby pledge the following donation to the HDSF for the Pie-In-The-Face contest.

$1.00$5.00 $10.00 $20.00$30.00Other

If "Other", please indicate

*I will submit my donation by

*My "votes" are to be distributed as follows:

My check or money order, payable to "HDSF", will be mailed to:

HDSF Treasurer
Dave Hodgson
1526 Applegate Dr.
Naperville, Il 60565