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PLEDGE / SPONSOR FORM 2015
42nd Annual Eppie’s Great Race®
Pledge Name: __________________________________________________ Date _____ / _____ / _____
Address: _____________________________________________________________________________
City:___________________________________ ST: _______________ ZIP: ______________________
Phone No.:______________________________ Email:________________________________________
> PLEASE SELECT A MINIMUM PLEDGE LEVEL:
________IRON PERSON - $250
________RELAY TEAM - $500
> CHECK(S) ENCLOSED: $_________________________________
Please make checks payable to: Eppie’s Great Race Foundation
> PLEASE SEND PLEDGE MONEY & FORM(S) TO:
Eppie’s Great Race Foundation
735 University Avenue
Sacramento, CA 95825
Phone: (916) 480-0270
Email: [email protected]
> YES! I would like to sponsor you in Eppie’s Great Race®. I understand that Eppie’s Great Race® is
presented by the Eppie’s Great Race Foundation, a non-profit 501 C (3); Tax ID #20-2299609; and funds
raised through this event are donated to its designated charity: County Of Sacramento Therapeutic
Recreation Services.
SPONSOR’S NAME:
SPONSOR’S ADDRESS:
CONTRIBUTION
AMOUNT:
PLEASE USE ADDITIONAL SHEETS IF NECESSARY
Give one copy to your Sponsor for tax purposes
(Pledge/Sponsor Form) Page 2 of 2