Offline Pledge Tracking Form - Purple Community

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OFFLINE PLEDGE TRACKING FORM
NOTE: Only complete this form if you are NOT setting up an online fundraising page.
You easily set one up by going to
If you need support setting up your page, contact us at 616-234-5390
Pledge Walker Name:
Phone:_
Email:
DONOR NAME/ADDRESS
PLEDGE AMOUNT
Please return all pledges to: Van Andel Institute ATTN: Purple Community 5K
333 Bostwick Ave. N.E., Grand Rapids, Michigan 49503-2518
Checks can be made payable to Van Andel Institute.
Questions? Contact Ashley Owen, Purple Community Senior Event Coordinator,
at 616-234-5390 or .

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