Thank you for sponsoring a walker in AIDSWalk 2007. Please read over this pledge form vert carefully, and fill it out completely and legibly.

RETURN THIS PLEDGE REQUEST FORM BACK TO THE WALKER YOU ARE SPONSORING OR DIRECLY TO AIDSWalk 2007

AIDSWalk 2007
Vermont CARES
P.O. Box 5248
Burlington, VT 05402

Questions?
Call Vermont CARES:
1.800.649.2437

AIDSWalk 2007
City Hall Park
Burlington

AIDSWalker's Name __________________________________

Information About You

Your Name _________________________________________ Address ___________________________________________ City __________________ State ____________ Zip Code _________ Please check here if you would like to recieve mailings from Vermont CARES

Donation Amount

I am supporting AIDSWalk 2005 with a donation of: $150 _____ $100 _____ $50 _____ $75 _____ $25 _____ Other Amount $_____

Payment Options

1. Pledge by Check or Money Order: Please make payable to: Vermont CARES 2. Pledging by Credit Card Visa MasterCard Acct Number: ____________________ Exp. Date: _________ Amount $_______________________ Signature: _____________________________________ Date: __________