Help Raise Funds for Autism

Join Team Rebecca and Walk, Bike or Run for Kids

 

Thank you for your interest in participating on your own, or forming a team to collect pledges for each mile that you Walk, Bike or Run for Autism. 

 

Rebecca walked 1,000 miles from Thanksgiving 2003 to 2004.  You don’t have to go 1000 Miles - Just get out there and do what you can.  Set a personal goal for any number of miles or form a team and set a team goal.

 

·        Teams raising $500 or more receive Drive For Rebecca t-shirts*  

·        Teams raising $250 to $500 receive Drive for Rebecca Frisbees

·        Teams raising $100 to $200 receive Drive for Rebecca patches

*If your team raises $500+, please include team member shirt sizes when mailing this form with checks. 

*A maximum of ten of each item listed above will be provided for teams raising $100, $250 or $500.

 

PLEASE PRINT THIS FORM to ask for pledges from friends, family members and co-workers. 

 

Goal (number of miles)__________                 Target Date to Finish:__________

 

Name                                        Address                                     Email                              $ Per Mile      Total   

Examples using 1000 miles

 

John Smith                    123 Jones Rd. Anytown, USA 12345          johnsmith@abcd.com                  $.10           $100

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Joan Smith                     123 Jones Rd. Anytown, USA 12345          joansmith@abcd.com                  $.02           $ 20

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Please make checks payable to: 

THE DRIVE FOR REBECCA                                   

(or to make a credit card pledge, click on “PayPal Donate” at www.DriveForRebecca.org). 

And mail checks to:

2 Valley Place, PO Box 225          If you have any questions about The Drive for Rebecca,

Tenafly, NJ 07670                             please call (201) 567-3699 or visit DRIVEFORREBECCA.ORG

                                                                                               

Please include the following when you mail your checks:

Name:____________________Team Name(if you are part of a team)_____________________

Address:________________________________________________________________________

City, State, Zip:__________________________________________________________________

Phone:______________________________Email address:_______________________________

 

The Drive for Rebecca, Inc. is a 501(c)3 non-profit organization. Donations are tax deductible to the extent allowed by law.

For more information on this organization please contact your state's governmental charitable registration unit or The Drive for Rebecca, Inc. ("The Drive")

at 201-567-3699 or http://www.DriveForRebecca.org.  If your state's governmental charitable registration unit does not have any information regarding

The Drive, please contact The Drive directly, so it may provide your state's governmental charitable registration unit with any required information.

 

 

The Drive for Rebecca

Building better lives for children with autism™

 

 

 

 

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The Drive for Rebecca, Inc.

 2 Valley Place PO Box 225

Tenafly, NJ 07670