Pledge Sheet

Pledge Sheet for Homeless Action Committee Sleep-a-thon

Name of Participant: _____________________________________________ Phone: ____________________

Address: ____________________________________________________________________________________________________

Time Committed to Sleep in the Park: ______ AM/ PM to _____ AM/PM Number of Hours: _______________

Each sponsor agrees to pay the above participant the amount below. Please make checks payable to: Homeless Action Committee, 393 N. Pearl Street, Albany, NY 12207.

Sponsors may pledge a certain amount per hour or if participant is staying more than 1 hour, they may pledge a set amount. Sponsors should pre-pay. If amount is not pre-paid, it is the participant’s responsibility to collect the funds.

PLEASE BRING PLEDGE SHEET, ALONG WITH PLEDGES, TO THE SLEEP-A-THON & bring over to the Social Justice Center, where registration will occur the night of the event.
Amt. Paid in Amount
Sponsor’s Name Address/Phone Pledge/Hr Total Advance Outstanding

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