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4th Annual Hazel’s Hope 5K Fun Run/10K Trail Run/1K Walk -Official Pledge Form

First Name Last Name Mailing Address (include apartment / suite) City, Province, Postal Code) Cash Cheque Receipt
Req’d
Amount
Pledged
Amount
Collected
John Smith 55 Any Street, Apt. 5 Mississauga, ON L5M 3M5 $20.00 $20.00
 
               
               
               
               
               
               
               
               
               
               
               
Total number of pledge pages attached Total (this page only)
   

  • Please make pledge cheques payable to Hazel’s Hope 5K Fun Run
  • World Vision Canada will issue tax receipts for pledges of $20.00 or more
  • Bring Pledge forms and money collected to the World Vision booth on race day
  • Free iPod Nano for Highest Pledge Total