2007 Vermont 50 MT Bike or Ultra Run
Pledge Form

Your pledges and all proceeds  from the Vermont 50 go to Vermont Adaptive Ski and Sports, a non-profit that provides sports and recreational opportunities to people with disabilities.  Contributions are fully tax-deductible.

Name

Address

City, State, Zip

Donation Amt

Date

Comment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Collected:

 

 

 

Entrant Name: ___________________________  City, State: __________________ Bib# _____

All pledges must be turned in at registration check-in on Saturday, September 27th, 2008
If your pledges total over $200 - Entry fee is refunded.

Vermont Adaptive Ski and Sports, P.O. Box 139, Killington, VT 05751.  802-786-4991
http://www.vermontadaptive.org