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w4w Brochure 2012
w4w Brochure 2012
PAID
STEVENS POINT WI
PERMIT NO. 29
Schedule of Events
NON-PROFIT ORG
US POSTAGE
Ask friends, family, coworkers and neighbors to pledge money to help you raise
money to register for the walk and win prizes. All pledges as well as personal and
corporate donations are tax deductible.
$250
Turn in your pledges at the event and pick up your incentive items:
$30 Advance Registration (prior to June 24):
t-shirt and a free lunch from Subway
$35 Onsite registration: t-shirt and a free lunch from Subway
$100 t-shirt and a reusable grocery bag and a free lunch from Subway
$250 t-shirt and a tote bag and a free lunch from Subway
$500 t-shirt and a donation plaque on the wall at the Humane Society
and a free lunch from Subway
Incentive items will not be available prior to the event day. Be sure your name is on
all pledge forms and checks so you receive credit for your pledges. All prizes will be
awarded based on money turned in on or before June 24, 2012.
$35
$500
$100
Pledges
NAME
PHONE
$ PLEDGED
$ RECEIVED
___________________________________________________________________________
___________________________________________________________________________
Registration Information
___________________________________________________________________________
Walker ____________________________________________________________________
___________________________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Phone ____________________________________________________________________
___________________________________________________________________________
Email _____________________________________________________________________
___________________________________________________________________________
My donation:
___________________________________________________________________________
___________________________________________________________________________
Waiver: In consideration of my signing this agreement, I hereby for myself, my pet, my heirs and
administrators assume any and all risks associated with the Walk for Wags. I waive and release any and all
rights and claims for damages which I may have against the organizers, The Humane Society of Portage
County, Inc. and any others connected with this event, their representatives, successors and assigns for any
and all injuries or damages of any kind whatsoever suffered by me or my pet as a result of taking part in the
Walk for Wags and any related activities.
___________________________________________________________________________
Name _______________________________________________________________
Address _____________________________________________________________
City, State, Zip _______________________________________________________
Email ________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Signature __________________________________________________________________
___________________________________________________________________________
Date ______________________________________________________________________
___________________________________________________________________________
TOTAL ____________________________________________________________________
Mail to:
Humane Society of Portage County
3200 Iber Lane, Plover, WI 54467
Fax to: 715-344-5954
You may register, donate and make
credit card payments at www.hspcwi.org
For more information, call 715-344-6012
Printing donated by Spectra Print, Inc./Design donated by Hoot Communications