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TAKE A HIKE for Humanity
June 6, 2015 / Pledge Form
Hiker ’s Name:_________________________________________
Address:_____________________________________________
City:____________________State:__________Zip:___________
Phone:__________________E-mail:_______________________
Hiking for:
Old Colony Habitat for Humanity
or
all participating affiliates
My goal is to raise at least $__________for
the above named affiliate.
In support of the above named hiker, the following sponsors pledge a contribution to the specified Habitat for Humanity
affiliate.
Contributions are tax deductible.
Sponsor Name/Address
ex:John Q.Hiker,Main
St.Anytown
Please attach additional sheets as needed.
Phone
Pledge
Paid
508-555-1212
$25.00
$25.00
TOTAL
PLEDGE NOTES
1.Please collect all pledges (cash or checks) prior to the event and
bring them along with this pledge sheet to your Habitat for
Humanity affiliate’s registration table on the day of the hike,
and/or mail with your pre-registration materials.
2.Please have any checks made payable to “Old Colony Habitat for Humanity”.
3.Please check for matching contributions from sponsors’ employer.