Sarnia Jr. Lady Sting Peewee B Skate-A-Thon Player Name: Phone #: Date: Sunday, October 12th at 1pm Clearwater Arena
NAME
ADDRESS
POSTAL CODE
PHONE #
PLEDGE PER LAP
LUMP SUM PLEDGE
Total Pledges Page # 1
TOTAL PLEDGE
$
*Thank you very much for your support. The girls are extremely proud to have made the Peewee Travel Team this year and are participating in this team fundraiser to raise enough funds to purchase Team WindSuits. The girls have agreed to skate 100 Laps around the ice surface to earn your pledges. **Cheques can be made payable to Sarnia Jr. Lady Sting Peewee B *** Receipts are automatically issued for all pledges $10.00 and over
NAME
ADDRESS
POSTAL CODE
PHONE #
PLEDGE PER LAP
LUMP SUM PLEDGE
Total Pledges Page # 2 Total Pledges From Pages # 1 & 2
TOTAL PLEDGE
$ $