SOOKE, METCHOSIN & SOUTH VAN ISLE
LIONS CLUBS
5th. Annual 32 Km Galloping Goose Linear Walk

Pledge Form - Print and complete for your record. Submit this form and funds to the charity of your choice.

Saturday, May 3, 2008,

PLEDGE FORM
for
B.C. LIONS SOCIETY FOR CHILDREN with DISABILITIES

I AM ENTERING THE LIONS 32 KM GALLOPING GOOSE LINEAR WALK in support of

The B.C. LIONS SOCIETY FOR CHILDREN with DISABILITIES or (name of charity of your choice)

____________________________________ and will submit this pledge to the Charity or Charities.

Any walker bringing atleast $100.00 for the B.C. Lions Society for Children with Disabilities

at the checkin on day of event will receive a $20.00 refund on their registration fee, and will also qualify for special draw prize.

 

Name; __________________	Complete Address;____________	Amount;
	Total;

 

Please note: The Lions Clubs only collect the pledge money for the B.C. Society for Children with Disabilities.

Tax receipts will be issued by the B.C. Society for Children with Disabilities for amount over $20.00 if complete name and address are provided above.

Bring your pledge money and this form with you when you check in.

We do not collect the pledge money for any other charities. If you are supporting another charity, please just indicate the name of the charity and the amount on this form, and bring it to

the Pledge Table so we can record the total amount of money raised by this event. You will need to submit your pledge money to the Charity. Thankyou.