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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><a name="OLE_LINK1"></a><a name="OLE_LINK2"></a><a name="OLE_LINK3"><b><span style='font-size:16.0pt'>Dogracing Form NFBNJ State Convention 2015<o:p></o:p></span></b></a></p><p class=MsoNormal style='text-indent:.5in'><b><span style='font-size:16.0pt'>Honoring Vincent Chaney, Founder and Past President of the <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>New Jersey Association of Guide Dog Users, NJAGDU <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>The sixth Annual Holiday Inn Derby!<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>To be held at our 39<sup>th</sup> annual state convention on the evening of Friday, November 6. <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>The National Federation of the Blind of New Jersey with the support from our Guide Dog Division Members And their Partners will have fun, provide awareness and raise needed funds for the division educational and outreach programs.<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>One selection for each form, however more forms are available for other choices.<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Donations are in the amount of <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>$5 $10 $15 $20 Circle the amount of your choice.<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Payouts are determined on the total amount bet on eachDog.<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Name: _____________________________<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Please circle one amount and one Dog per form<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Your selections are as follows:<o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>1.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'> NETWORKING <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>2.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'> JOBS <o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.25in'><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>3.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'>AWARENESS<o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.25in'><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>4.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'>GOALS<o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.25in'><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>5.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'> DUSTY <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:16.0pt'><span style='mso-list:Ignore'>6.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:16.0pt'> UNITY <o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-size:16.0pt'>Have Fun and Good Luck!</span></b><b><span style='font-size:16.0pt'><o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><o:p> </o:p></span></p></div></body></html>