Champ Ride 2008
Be A Champ.
Do The Ride.
Sponsor Pledge Form

THANK YOU!

Thank you for sponsoring a rider for Champ Ride 2008! Your contribution in the fight against HIV/AIDS will enable Vermont CARES to continue to provide the necessary programs and services for Vermonters living with and at risk of HIV/AIDS.

PLEASE RETURN THIS PLEDGE FORM TO THE RIDER OR MAIL IT DIRECTLY TO VERMONT CARES.

Champ Ride ‘08
Vermont CARES
P.O. Box 5248
Burlington, VT
05402

Questions?
Contact Peter Jacobsen,
Executive Director,
at Vermont CARES:

1-800-649-AIDS or
peter@vtcares.org

Information

Rider's Name: ____________________ Rider's Number: __________

Sponsor's Name: ______________________________

Address: ______________________________

City: ______________________ State: _____ Zip Code: __________

Phone: _______________________ Email: _______________________

Donation Amount

YES! I want to support a Champ Rider and in turn support people living with and at risk of HIV/AIDS in Vermont...

$200 $175 $150 $125 $100 $50

Other $_____

Please check the amount that you would like to donate towards HIV/AIDS services, prevention and education for Vermonters living with and at risk of HIV/AIDS.

Payment

Check payable to: Vermont CARES’ Champ Ride 2007

Cash

Monthly Giving (Vermont CARES will contact you to set up an electronic transfer). $__________ per month.

Credit Card: Visa MasterCard

Card Number: ______________________________

Expiration Date: ______

Signature: __________ Date: __________ My employer offers a matching gift program. Please attach the forms and contact information.

Vermont CARES’ mission is to improve the quality of life, create compassionate communities and prevent the spread of HIV by working with people affected by HIV/AIDS as catalysts for social and individual change.