BARK-A -THON Pledge Form

Bare Cove Park walk to Benefit Scituate Animal Shelter Walk/Run Walk Begins & Ends at Bare Cove Park May , 2011
Or send your contribution directly to:
Bark a thon Walk for
Friends of the Scituate Animal Shelter
P.O. Box 823
Scituate, MA 02066

WALKER'S NAME_____________________________ TEAM Number ______

ADDRESS __________________________________________________

CITY __________________STATE ____ ZIP ________

PHONE (___) - ___- ______ E-MAIL _________________________________


$5 $10 $20 $50 other pledges $ _______

For more information, contact William Hall, 781 749 4492 or William@gailhall.com

Thank you notes are sent to: please include your name and address

Release statement I release the 2009 Bark a thon Walk sponsors and organizers from Friends of Scituate Animal Shelter from any claims or liability resulting from my participation in the Walk .

SIGNED:____________________________________DATE:_______

All PLEDGEs are PRE-PAID; make checks out to Friends of Scituate Animal Shelter

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