In person donation form

17^th Annual Nevada City Mountain Bike Endurance Ride Saturday, May 23^rd,2015

IN PERSON DONATION FORM

In Support of Big Brothers Big Sisters of Nevada County and North Lake Tahoe

RIDER INFORMATION: PLEASE PRINT

Name:

Last:

First:

Mailing Address:

City

Zip

Day Phone:

Cell Phone:

E-mail address:

Rider Instructions:

1. Use this sheet to sign up as many sponsors as possible; make additional copies as needed or pick up extras at the BBBS office.

3. Challenge Goal : minimum $250 per rider

2. Have fun for the sake of mentoring!

4. Bring this completed donation form, with money collected, to the event on Saturday, May 17th

Checks should be made payable to: BBBS of Nevada County

DONOR INFO: Please PRINT or TYPE clearly so we can send thank you letters to your donors for tax purposes!

Name

Mailing Address

City

State

Zip

Phone

Collected Amount

Cash

Check

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Subtotals:

Sheet

of

(use if you have more than 10 sponsors)

TOTAL

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