Hostage US Fundraiser – Sponsor Pledge Form

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Please fill out this form if you are pledging to sponsor a runner or walker.

First Name *

Last Name *

Your email *

Which statement best matches how you want to sponsor a runner? *

I would like to sponsor myself

I have a runner(s) in mind who I want to sponsor.

I want to be assigned a runner to sponsor

I represent an organization and would like to sponsor my organizations team

Name of the runner or organization you are sponsoring (separate multiple runners with a comma. Ex: John Doe, Sam Smith) *If you do not have a specific runner in mind, please type “any” instead of a name. *

Participant list & mile goals:

Jared Bedell - 30
Eric Behna - 26
Cris Bohanski - 75
Rachel Briggs - 13
Margaux Ewen - 5
Liz Frank - 100
Brandi Phillips-Dezendorf - 40
James Ringland - 100
Matthew Frank - 150
Samantha Economos
Aida Cipriani
Al Cipriani
Stephen Cathcart - 100

How much money PER MILE would you like to pledge to the runners you are sponsoring? (Ex: if you pledge $5 per mile and the runner runs or walks 50 miles, you will donate $250) *If you are sponsoring different runners at different rates, please specify. *

Would you like to commit an additional donation if we reach our 200-mile goal? If yes, please tell us the amount you would like to pledge.

Are you interested in being featured as a "Spotlight Donor" on Hostage US social media during the fundraiser?

Yes

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