Search This Blog

Thursday, February 18, 2010

Charity Information Form

Fill out the form below to let me know which charity you are pledging money too. Thanks again for your support.


First Name:


Last Name:


Email Address:


Keep Name Anonymous:

Yes No

Charity Organization:


Charity Website:


Donation Amount (Per Mile Hiked):


About Charity/Reason for Donating to your Charity:







This online form was provided by Freedback.

No comments:

Post a Comment