Bike-Aid/ODN 1998 Pledge Form

Rider Name:KENT R. JOHNSON Date: / /
Sponsor Name: 
Address:   
Address2: 
City:  State:  Zip: 
Telephone:  -  - 
Amount Pledged: $.00
Check #: 

Contributions are tax-deductible (in the US) in accordance with section 501c(3)of IRS code. (Exemption No.#22-2502681)

AmeriCares 1998 Pledge Form

Rider Name:KENT R. JOHNSON Date: / /
Sponsor Name: 
Address:   
Address2: 
City:  State:  Zip: 
Telephone:  -  - 
Amount Pledged: $.00
Check #: 

AmeriCares is a private non-profit humanitarian organization. Gifts are tax deductible.