Walk+A+Thon+Pledge+Form by nfh12779

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									                  Westerville South Instrumental Music Boosters Walk-A-Thon
                        Sunday May 17, 2009            Time: 2:00-6:00
Name:                                               Email:

Phone Number:                                       Street Address
                                                       City/Zip:


I am a family member of_______________________________ (Marching Band Student).

I am 2009 Senior. I am donating my contributions to ____________________ (Marching Band Student).

I plan to walk at least 5 kilometers (3.1 miles).

Dear Friend,

I am participating in the Westerville South Instrumental Music Booster Walk-A-Thon. All proceeds will help
fund individual band members individual band costs and to support the efforts of the music boosters. You
can sponsor me for a pledge amount. We hope that you will make your contribution before the walk -a-thon.
Make checks to Westerville South Instrumental Music Boosters or WSIMB. All contributions are tax-
deductible.

Thank you!

                                             Total  Amount
Name of Sponsor                              Pledge Collected
                                             Amount from Sponsor

1

2

3

4

5

6

7

8

9
                                            Total  Amount
Name of Sponsor                             Pledge Collected
                                            Amount from Sponsor

10

11

12

13

14

15

16

17

18

19

20

21

     Page Two Total

     Page One Total

     Total Donations

Participants: The Westerville South Instrumental Music Boosters Goal is for each participant to raises at least
$50 in contributions. Please bring this form with you to the Walk-A-Thon on April 25, 2009.

								
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