Cycle for Coeliac Fundraiser 2022 Pledge Form

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I am supporting the Gluten Free For Life Bike Aotearoa 2021 Fundraiser for Coeliac New Zealand

I (we) am supporting a rider or team in the Cycle for Coeliac Fundraiser and confirm my pledge below: *

Your Name *

Your Email *

Your Phone number

Name of the rider or team I am pledging for:

Riders Email address if you know it

I (we) pledge a total of $ or $ per km completed by the rider up to a maximum of $

Please select the appropriate option you will use to pay your pledged donation

I (we) will pay the donation at the end of the challenge via the Givealittle page https://givealittle.co.nz/event/gfforlife-bike-aotearoa-2021

I (we) will pay the donation at the end of the challenge by internet banking 03-1726-0020179-00 please use your name in the reference field and GF Bike and email admin@coeliac.org.nz so we can issue a receipt for your tax credit.

Or I(We) will pay the agreed donation amount of $25 / $50/ $100 /$250 at the end of the challenge via the Coeliac NZ donate page on the website https://coeliac.org.nz/donate/

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Thank you for coming along on the Gluten Free For Life ride! Coeliac Disease can have an impact on someone you know as people of all ages can have it, and the importance of understanding the disease and how to manage a gluten free diet is particularly important for their wellbeing. By supporting the riders cycling for coeliac alongside Max and Andrews' "Gluten Free for Life" tour of Aotearoa you help Coeliac NZ to continue to educate and support individuals, whanau and entire communities to live their best life with this lifelong auto-immune condition. Nga mihi Coeliac New Zealand Inc.

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