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Download the Pledge Form Here or use the online registration form below:

If you will be unable to attend the Walk but would still like to pledge, please go to the Individual Sponsor page to donate online or by check.

Individual Name:*

Organization Name:

Team Captain:

Address:*

City, State, Zip:*

Phone:*

Email:*

This donation is GE Match Eligible:

Walkers and Donors:

Name	Walker/Donor	Amount Pledged (Format: 123.45)

		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$
		$

Schenectady Community Home, Inc.
P.O. Box 2122
Scotia, New York 12302
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