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Request Form
Omro Booster
Club
Sport/Activity ___________________________________
Coach making Request___________________________
Item(s)Requested _______________________________________
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Reason Item(s) are needed _______________________________
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Estimated Cost:_$________
Signature _____________________ Date ___________
Please forward request to the Atletic Director Marty Goryl. Any questions please call him at 920-685-7405 x164
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