Pledge Sheet

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Name: _______________________________ Please make checks payable to: Concerns of Police Survivors

COPSWALK Southwest 2018 SPONSOR PLEDGE SHEET

Fundraising goal: $____________________ Amount enclosed: $___________________

SPONSOR’S NAME

MAILING ADDRESS

Suzie Sample

123 Main Street

CITY, STATE, ZIP

FLAT AMT

Anywhere, MO 11211

PER MILE

AMOUNT COLLECTED

PYMT TYPE

SENT IN TO NAT’L?

$4.00

$100

Check

Y/N

CONTRIBUTION

ALL DONATIONS ARE TAX DEDUCTIBLE TOTAL TOTAL CONTRIBUTION COLLECTED (All sponsors will receive a letter from C.O.P.S. for tax-purposes) Mail a copy of this form and all collected funds to National C.O.P.S. National C.O.P.S., Attn: COPS WALK, PO Box 3199, Camdenton, MO, 65020

C.O.P.S. IS A 501(c)(3) NON-PROFIT ORGANIZATION