Please fill out the following form for your pledge:
First Name: Last Name: Street Address: City: State/Province: Zip/Postal Code: Country: Email: Phone#:
Last Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Email:
Phone#:
Amount, in $USD, you want to pledge per mile* that George completes: $1.00 $2.00 $3.00 $4.00 $5.00 $6.00 $7.00 $8.00 $9.00 $10.00 $15.00 $20.00 $25.00 $30.00 $40.00 $50.00 $75.00 $100.00 *(A marathon is 26 miles. If, for example, you pledge $5 per mile, and God willing, George finishes all 26 miles, your total pledge is then $130 towards helping the hungry and poor of Albania.)
Your preferred method of payment after the race: Check Visa Mastercard
Name of your church:
Name of your Priest/Pastor
City where you church is located:
