BIKING FOR BURUNDI PLEDGE FORM

Please print out this form and mail with your donation. Thank you.

I would like to help with the Burundi microlending project. I want to contribute:

□ $ ______________ A flat amount now

□ $ ______________ per mile - Note: Seattle To Portland bike ride is 202 miles.

□ $ ______________ per day - Note: I plan to ride the route over 2 days.

□ $ ______________ when ride is completed.

□ Check here if you do not need a written acknowledgement of your donation sent to you. This will save us time and postage, so more effort will go to the project.

Name _____________________________________________

Phone ____________________________

Address ___________________________________________

Email _____________________________

Please send your donation to Biking for Burundi, 8106 Carl Rd., Everson, WA 98247.

Please make checks to Sound Essence Project,

and Biking for Burundi on memo line.

Sound Essence is a 501(c)3 nonprofit,
so your donation is tax deductible.

THANK YOU!