the form

Sunday, November 28, 2010

Skot David Wilson
6724 Cherbourg Avenue South
Jacksonville, Florida 32205
(904) 781-8635

27 November 2010
Participation/Pledge/Sponsorship Form
Push the Cart
A community marathon against hunger

I/we will join with you to Push the Cart against hunger. I/we can help in the following manner:

1. I/we pledge to contribute $__________ per mile up to a total of 26 miles for a total of $____________ to be donated to agencies fighting hunger in NorthEast Florida and food banks, to be used in their ongoing effort to confront hunger and help our fellow First Coast citizens.

2. I/we will be willing to Push the Cart 2 miles on Saturday, January 29th, 2011, to raise awareness for and raise funds to fight against hunger.

3. I/we are willing to sponsor the Push the Cart event with a donation of:
a. $____________ in funds.
b._________________________________________________________ to be used for publicity and/or promotion of this event.

All checks or payments should be made payable to whatever organization you choose from the Hunger Swat team site, and they will be forwarded properly. General or unspecified donations or pledges will be pooled and given to the most in need organization listed.

I/we can be contacted at: _______________________________________________________


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