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Sloan Henderson

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Gender	Male Female
Partnership Type	Rebel Racer retool ($10.00/month) Limited Sprint Cup Partner ($100.00/month) Local companies ($100.00/month) Fab 4, ($1,000.00/month) One Time Donation (Any single amount)
Donation Amount	$
Shirt Size	Choose One Small Medium Large Extra Large
Shipping	Ship my Partnership Packet (One time cost of $8.77) I'll pickup my Partnership Packet
Pickup Location	SignARama 253 W. Central Avenue Springboro, Ohio 45066 (937) 748-8610 (The only place to get the Windshield Visor Installed) Springboro Hardware 60 W. Central Avenue Spingboro, Ohio 45066-1138 (937) 748-1361 Line X of Dayton/Frankin 400 Conover Drive Fraklin, Ohio 45005 (937) 673-9835 Rebel 105.9 4505 Central Avenue Middletown, Ohio 45044 (513) 422-3625
How Did You Hear About Me?	Choose One Billboard Rebel 105.9 Radio Rebel 105.9 Website Franklin Chronicle Other
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If you would prefer to join by phone, please contact Steve Henderson at 937-533-6271 to arrange a partnership or donation for the Rebel Racers.

If you would prefer to join by mail, please send a letter with the following information:

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Check for partnership type plus $8.77 for shipping

to

Sloan Henderson Motorsports
PO Box 53
Camden, Ohio 45311