Four States for Spina Bifida Cycle Tour

Pledge Form

If you prefer, you can call the Spina Bifida Association of Illinois at (773)444-0305 or 800-969-4722 to make your plege. Thank you!!! Tim and Rick

First name

Last name  

Amount you wish to pledge  $ 

Address 

City 

State 

Zip Code 

Phone Number

Email Address 

Email Address 

 

 

 

You do not need to send any money now. We will contact you after the event to tell you how to fulfill your pledge. Your donation will be made directly to the Spina Bifida Association of Illinois.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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