The Fun Run Pledge Form
The Fun Run Pledge Form Student Name: ___________________________ Sponsor Name and Address
Grade: ____________
How would like to sponsor your runner? Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Payment? Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash
Card Info: Number: _____________________________________________
Visa MasterCard Discover Amex Check
Number: _____________________________________________
Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________
Exp Date: ___________________ CVV: _______________
Cash
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ Or Pledge Per Lap: ________
Flat Amount: __________ Or Pledge Per Lap: ________
Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash
Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________
Steps for Donating Online: 1. Go to http://stambroseschool.org/support-us/on-line-giving/ 2. In one of the blank fields, enter "PUMPKIN RUN-Student's Name" under description and the $ amount under Price. If you are sponsoring more than one student, use additional blank fields. 3. Click "continue" and follow the instructions. 4. We will be notified of your pledge and will credit the student(s)!
Grade: ____________
How would like to sponsor your runner? Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Payment? Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash
Card Info: Number: _____________________________________________
Visa MasterCard Discover Amex Check
Number: _____________________________________________
Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________
Exp Date: ___________________ CVV: _______________
Cash
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ or Pledge Per Lap: ________
Flat Amount: __________ Or Pledge Per Lap: ________
Flat Amount: __________ Or Pledge Per Lap: ________
Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash Visa MasterCard Discover Amex Check Cash
Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________ Number: _____________________________________________ Exp Date: ___________________ CVV: _______________
Steps for Donating Online: 1. Go to http://stambroseschool.org/support-us/on-line-giving/ 2. In one of the blank fields, enter "PUMPKIN RUN-Student's Name" under description and the $ amount under Price. If you are sponsoring more than one student, use additional blank fields. 3. Click "continue" and follow the instructions. 4. We will be notified of your pledge and will credit the student(s)!
