Foundation Details

1
PLEDGE FORM REGISTRATION FORM (Please
reproduce for additional copies)
H.E.L.P. FOUNDATION, Inc (Non-profit tax exempt
organization, ID 22-3309963) 15 Lindsey Circle
Old Bridge NJ 08857 Tel [phone]
H ealth and E ducation for L ess P rivileged
Walkers Name (Please print. This name will
appear on the Award) Walkers Address
Walkers Tel No Walker Email______________
________

• INSTRUCTIONS
• PRINT all the information.
• TOTAL all pledges and collections.
• BE SURE your sponsors understand their
• commitment to you to the Foundation.
• START TODAY to sign up the sponsors.
• EXPLAIN all the proceeds will be used to
• support orphans.
• MENTION all donations are tax deductible.

Leader Name (If you are a leader or if you have
a leader write the name, if you do not have a
leader write none)
Adult____ Student ____ Grade____ Do not
send me the Prize. I prefer to donate the Prize
money to the Foundation ______
MUST BE FILLED
Amount You Collected (Column 2)
Name of Sponsor
Address
Telephone No
Amt Pledged by Sponsor (Column1)
City, State
Zip
YOUR PLEDGE
1
2
3
4
5
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7
8
9
10
Please add totals
Total of Column 1 (Amount of Pledges)
__________ Total of Column 2 paid at
Walk-A-Thon __________ (Checks ______ Cash
______) Amount you will pay later (Column 1
Column2) __________
(PLEASE MAKE A COPY FOR YOUR
RECORD BEFORE YOU TURN IN)
(If you need additional space, continue on back
page)
2
PLEDGE FORM Page 2
Amt Pledged by Sponsor (Column1)
Amount You Collected (Column 2)
Name of Sponsor
Address
Telephone No
City, State
Zip
11
12
13
14
15
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17
18
19
20
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Total of this page
Total from previous page
Grand Total
Grand Total of Column 1(Amount of pledges)
__________ Grand Total of Column 2 paid at
Walk-A-Thon __________ (Checks ______
Cash ______) Amount you will pay later (Grand
Total of Column 1 Grand Total of Column 2)
__________ (If you need
additional space copy this page)
(PLEASE MAKE A COPY FOR YOUR RECORD
BEFORE YOU TURN IN )