Gateway Walker Proxy Card

Yes, I’d like to sponsor Lorena Gavaris in Gateway’s ‘Walk-for-the-little-ones” walk-a-thon. Enclosed is my gift of…

(please circle one)      $15           $25         $50         $75         $100            $200        $500         other  $_____

Name____________________________________________________________________
Address: _______________________________ Apt.____  City:_______________State_____ Zip_____
email:________________________________
Church:______________________________
Telephone number: ____________________


Please clip and mail with your check to:
Gateway Pregnancy Center
960 Springfield Avenue,
Irvington, NJ  07111

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