Sponsor Pledge Form












 


Run for Hospice
           Sponsor Pledge Form

Ask your family, friends & co-workers to sponsor you. Raise $60 and your registration fee will be waived. Raise a minimum of $150 and you will be GUARANTEED a valuable prize.

Selection of prizes will be based on the amount of money raised, with the person raising the most money choosing first. The more you raise the better your choice of prizes will be. Prize selection will take place the week following the race.

The sponsor form & pledge money can either be mailed in with your registration or brought with you on race day.

Please have all checks made payable to: Run for Hospice

Participants Name ___________________________________
E-mail ___________________________________
Phone ____________________________________

Sponsor Name                                                   Pledge Amount ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________

Total amount of all pledges received $________

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