Hike for Hospice in support of Huron Shores Hospice

2023 Pledge Form

Saturday, May 13th, 2023

I am Hiking in Memory Of:

I am Hiking in Honour Of:

Participant Name

Mailing Address

Phone Number

Email Address

I am part of a team/business

Team Captain's Name:

Team Name:

Donor Name

Mailing Address

Phone Number

Email Address

Pledge Amount

Paid (Y/N)

Tax Receipt Required

$

$

$

$

$

$

$

$

$

$

Pledge Total (this page):

$

*IMPORTANT: Charitable tax receipts will be issued for all donations of $20.00 or greater. To receive a tax receipt, full name, email and mailing address (including postal code) must be provided. Please note that all tax receipts will be emailed.

Need another pledge sheet? Awesome! Download a form from our website: www.huronshoreshospice.ca