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THE

MARCH AGAINST IMPUNITY


PLEDGE FORM

YOUR NAME:
CONTACT NO:
ADDRESS:
E-MAIL:
COLLEGE:
INSTITUTION:

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DONOR'S NAME

PLEDGE AMOUNT

1. YOURSELF

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2. ________________________

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3. ________________________

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4. ________________________

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5. ________________________

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6. ________________________

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7. ________________________

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8. ________________________

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9. ________________________

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10.________________________

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