the walk for water

22nd March 2008

A United Nations Registered Event

An Event To Benefit: WaterAid America

THE WALK FOR WATER CONTRIBUTION FORM Contribution Form Instructions

1. My/Our pledge goal $ ________________ 2. Print all information 3. Sign the form at the bottom 4. Turn in (1) copy with your pledges 5. Keep (1) copy for your records 6. START NOW to get as many sponsors as you can. There is NO limit. You can always get extra pledge forms. 7. Thank you for your participation in The Walk For Water

WaterAid America 232 Madison Ave., Suite 1202 New York, NY 10016 www.wateraid.org

NAME:___________________________________ ADDRESS: _______________________________ CITY: ___________________________________ STATE: _____________ ZIP: _______________ TELPHONE: (___) _________________________ EMAIL:__________________________________

Reminder: For 1.2 miles you will be walking with either 10 or 4 liters water. You are responsible for bringing empty containers (empty one gallon milk jugs) to carry that water. Also have a good way to carry the water. (backpack ?).
For A Tax Detuctible Receipt: Make checks out to WaterAid America: Write 'The Walk For Water' on the memo line. Or Donate Online @ www.rstgiving.com/edwardzwyghuizen

Sponsor Name
1.

Address
5341 Water Walk Way Apt. 3B

City, State & Zip

Waterton, MI 42007

Phone

Pledge
$

Collected
50.oo

Ms. Mary Chalkboard

748-9653

50.oo
$

2.

3.

4.

5.

6.

7.

8.

9.

10.
Please Make Checks Payable To: WaterAid America

Signature of Participant

(on line below)

Total Amount Paid

X

Or Donate Online @ www.firstgiving.com/edwardzwyghuizen