! 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
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