🏃♂️ Running For Shelter — Donation Pledge Form
Support our mission to provide safe shelter and affordable housing solutions in Lloydminster.
Event Date: September 6, 2025
Hosted by: Lloydminster Social Action Coalition Society (Lloydminster Men’s Shelter)
💳 Donor Information
Full Name: _________________________________________
Mailing Address: ____________________________________
City: __________________ Province: _______ Postal Code: __________
Phone: __________________ Email: __________________________
🏃 Participant You’re Supporting (if applicable)
Participant’s or Team’s Name: ___________________________________________________
💰 Pledge Details
Donation Type | Amount |
❑ Flat Donation | $__________ |
Total Donation: $___________________
✅ Payment Method (check one)
❑ Cash (enclosed)
❑ Cheque (enclosed payable to Lloydminster Social Action Coalition Society)
❑ E-transfer to: hfalloydminster@gmail.com
❑ Credit Card: Search for a fundraiser — Race Roster — Registration, Marketing, Fundraising
📜 Tax Receipt
❑ Yes, I would like a tax receipt (automatically generated if donated through Race Roster electronically)
(Receipts issued for donations of $20 or more. Please provide a full mailing address and email.)
🖊 Donor Signature
Signature: _________________________
Date: _______________________
Thank you for supporting the Running For Shelter event!
Your pledge directly helps us expand our emergency shelter and transitional housing programs in partnership with local organizations.
For more info, contact us at:
📧 executivedirector@lloydminstershelter.com | 📞 306-825-3977
🌐 www.lloydminstershelter.com
