Pledge Form for Sharathon

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Name:	*
Email:
Company:
Street:	*
City:	*
State/Province:	*
Zip/Postal Code:	*
Phone Number:	*
Comments:

1. Are you 18 or older? *	Yes No
2. Type of Gift:	New (Never pledged before) Renewal Additional
3. What type of gift would you like to make?	Single Gift Monthly Gift 180 Club ($30/monthly for 6 months) Partner for Change ($15/monthly for 6 months) Half Day Sponsorship ($300) Full Day Sponsorship ($600)
4. Enter single gift amount:
5. Enter Monthly Gift Amount:
6. Method of Ful-fillment:	Mail me a pledge confirmation and a return envelope Contact me for my Credit Card information Contact me the Auto-Draft plan details