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Gwinnett Gladiators 'Light the Lamp' Program
2005-06 season

Please fill out the form completely to place a pledge.

First Name
Last Name
Address
City
State/Province
Zip
Phone
Email
Are You a Ticket Package Holder?

Yes
No

How Many Games do you plan to attend this season?
none
less than 5 games
between 5-10 games
between 10-15 games
between 15-20 games
between 20-25 games
over 25 games
all 36 home games and all playoff games
Please have someone from the Gladiators office contact me about ticket packages.

I would like to pledge the following amount for each home goal scored during the 2005-06 season:
$
   
 
   
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