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
1. _________________________________________________________________________________________
2. _________________________________________________________________________________________
3. _________________________________________________________________________________________
4. _________________________________________________________________________________________
5. _________________________________________________________________________________________
6. _________________________________________________________________________________________
7. _________________________________________________________________________________________
8. _________________________________________________________________________________________
9. _________________________________________________________________________________________
10. _________________________________________________________________________________________
11. _________________________________________________________________________________________
12. _________________________________________________________________________________________
13. _________________________________________________________________________________________
14. _________________________________________________________________________________________
15. _________________________________________________________________________________________
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