Against the Tide 2010 - Pledge Sheet
Saturday, June 19, 2010 in Hopkinton MA
Saturday, August 21, 2010 in Brewster, MA
Please print this page and start collecting pledges.
click here to print
Remember, you must contribute a minimum of $150 in order to participate.
Your Name:_____________________________________________________________
Team Name:___________________________________________________
Your address:________________________City:___________State:____Zip:________
Phone (day):___________________(evening):_______________
E-mail:_____________________________________________________
My goal is to raise:
___ $150 ___ $250 ___ $500 ___ $1,000 ___ $2,500
Your pledges directly support the MA Breast Cancer Coalition in its efforts to stop the breast cancer epidemic.
Please make checks payable to MA Breast Cancer Coalition - Contributions are tax-deductible - Please pre-pay
Don't forget to pledge yourself!
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Sponsor's name |
Address |
City |
State |
Zip |
Pledge Amount |
Total |
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Subtotal: |
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Against the Tide |
$ |
$ | ||||