Diabetes Walk for Hope 2017 - Diabetes Walk for Hope

Pledge Information

Payment Information

Review Pledge

2017 Diabetes Walk for Hope. Thank You For Your Gift!

Select A Pledge Amount: Required

$25.00

$50.00

$75.00

$100.00

Enter an Amount Enter amount.

Yes, make this an anonymous pledge.

Recognition Name: This will be used for public recognition (example, John Smith or The Smith Family).

Check this option if you will allow us to display the amount of your pledge publicly.

Yes, you can display the amount of my pledge publicly.

Personal Note to Walker/Team: The person that you are donating on behalf of will receive this note.

Honor Gifts or Bequeaths

Check this option if this is an honour or memorial gift. If this box is checked, additional fields will appear to enter honour or memorial information.

Yes, this is an honor or memorial gift

Honoree First Name: Required Honoree name is required.

Honoree Last Name: Required Honoree name is required.

Check this option if the person you are honouring is deceased.

Yes, the honoree is deceased.

Notification Recipient Street 1: Required Notification recipient street is required.

Notification Recipient Name: Required Notification recipient name is required. Enter the name of the person that should be contacted regarding this gift.

Notification Recipient Street 2:

Notification Recipient City: Required Notification recipient city is required.

Notification Recipient ZIP/Postal Code: Required Notification recipient zip or postal code is required.

Notification Recipient Country: Required Notification recipient country is required.

Notification Recipient State/Province: Required Notification recipient state or province is required.

Check this option to include the amount of your gift in the message.

Yes, include the gift amount in the message.

Message Body: Required Message body is required. This message will be sent to the notification recipient.