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Lekotek Run Pledge Form 

Walker / Runner: ______________________________________________

Email: __________________________________________________
 

1. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

2. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

3. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

4. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

5. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

6. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

7. ______________________________________________________________
     Donor Name

   ______________________________________________________________
    Address                                                                                                    Donation

Total Raised:  _____________________