Pledge Form

Boston 4 Bostons Pledge Form

Date: _________________________________________________________

Name: _________________________________________________________

Email:_________________________________________________________

Phone Number:___________________________________________________

Address:_______________________________________________________

Pledge Amount: __________________________________________________

Would you like to double the pledge amount above if my marathon time is faster than my previous time of 3:33.08?

Please circle one:      Yes       No

If you would like to make this pledge in someone’s honor (furry or non-furry) please list now: _______________________________________________________

(FYI- Pledge money is not due until after the Boston Marathon on April 16, 2012)

Thank you!! Woof!!

Visit www.btrnc.org for more information about this wonderful rescue and visit www.boston4bostons.blogspot.com to follow my efforts for this worthy cause!