WOMEN'S 5K CLASSIC, INC. PLEDGE FORM


  NAME __________________________________________________________

ADDRESS _______________________________________________________

CITY _____________________________ STATE _________ ZIP ___________

PHONE ___________________________ EMAIL _________________________


Any person who collects $100 or more will receive a gift.

All pledge money is due October 20, 2012. Look for the "Pledge Desk" at packet pickup. Pledge money can also be dropped off to Steve Dodson at the packet pickup on race morning. Steve will be wearing a tux. Proceeds will benefit breast and other female cancer awareness, prevention, research and support programs in the Greater Lehigh Valley.

  CHECKS SHOULD BE MADE PAYABLE TO: WOMEN'S 5K CLASSIC

NAME (PLEASE PRINT) PLEDGE

1._________________________________________  $______ _______

2._________________________________________  $______ _______

3._________________________________________  $______ _______

4._________________________________________  $______ _______

5._________________________________________  $______ _______

6._________________________________________  $______ _______

7._________________________________________  $______ _______

8._________________________________________  $______ _______

9._________________________________________  $______ _______

10.________________________________________  $______ _______

TOTAL CONTRIBUTION: $_____________

Contributions are tax deductible to the extent of the law.
CERTIFICATE OF REGISTRATION NO. 26547 - Questions? Call 610-395-2438