Walk at the Zoo
April 17, 2010
Sponsorship Form
I am happy to sponsor_________________________________ for the Strides of Hope Walk at the Zoo 2010
Name of Walker
Sponsor: Last Name First Name
____________________________________________________________________________
Street Address
___________________________________________________________________________
City Zip Code Phone
Email Address______________________________________________________________
Make checks payable to the Shades of Pink Foundation
Method of Payment: ______Cash _______Check ______Credit Card
Credit Card information _____Visa _____ Master Card
Billing address same as above? If not, enter billing address__________________________
__________________________________________________________________________
Credit Card Number______________________________________
Name as it appears on the card_____________________________
Expiration date: _____-_____ Security code (back of card)____________________
Send to Shades of Pink Foundation, 3577 West 13 Mile Road, Suite #201, Royal Oak, Michigan 48073
Shades of Pink Foundation is a 501(c) (3) public charity.
