| SADDLE-UP for ST. JUDE |
| SPONSOR FORM |
| |
| _________________________________________________ If you collect $125 or more, If you collect $35 or more, |
|
Rider's Name Circle your sweatshirt size Circle your T-shirt size
|
| ________________________________________________ Adult size: L XL Adult size: M L XL |
| Address Child size: 14 - 16 Child size: 10-12 14-16 |
| _________________________________________________ |
| City, State, Zip Code |
| _________________________________________________ |
| Telephone |
| |
| Please help St. Jude Children's Research Hospital by pledging a donation of $5, $10 or more. |
| For the safety and convenience of the rider, we request that you do not give cash. |
|
Please make your tax-deductible check payable to St. Jude Children's Research Hospital.
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Sponsor's Address |
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Total |
| Sponsor's Name |
Street |
City |
State |
Zip |
Phone |
Donation |
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