Author: Owner

PLEDGE REGISTRTION FORM
Use this form to collect pledges locally from friends, family, and co-workers. You can collect checks or credit card pledges and enter the information on your FundEasy page, go to cefsouthcentralpa.org to set up your page, or send this form (along with any checks) to Child Evangelism Fellowship, 512 Logan Blvd., FL 1, Altoona, PA 16602, and we will enter them for you.

WALKER’S NAME __________________________________________________________ ADDRESS _______________________________________________________________ CITY, STATE, ZIP__________________________________________________________ EMAIL __________________________________________________________________ PERSONAL FUNDRAISING PAGE LINK (if applicable)_______________________________
Pledge #1 Name _______________________________________ Amount$____________ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #2 Name _______________________________________ Amount$_____________ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #3 Name _______________________________________ Amount$_____________ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #4 Name _______________________________________ Amount$_______ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________

Pledge #5 Name _______________________________________ Amount$____________ Address__________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #6 Name _______________________________________ Amount$_____________ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #7 Name _______________________________________ Amount$____________ Address__________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #8 Name _______________________________________ Amount$_______ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #9 Name _______________________________________ Amount$_______ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________
Pledge #10 Name _______________________________________ Amount$______ Address___________________________________________________________________ City, State, Zip_____________________________________________________________ Email______________________________________________ Phone _________________ Check ____ Credit Card Name_________________________________________________ Card No._______________________________________ Exp._________CVV___________