Registration and Pledges
Name of Participant: _________________________________________________

 

Address: __________________________________________________________

 

Phone Number: ______________________ Email Address: __________________

 

Donations are tax deductible and will benefit the Iris Network. Please make checks payable to The Iris Network c/o Walk and mail to 189 Park Avenue, Portland, ME 04102. 

Individual Sponsor Sheet

 

Name Address Pledges
     
     
     
     
     
     
     
     
     
     

Total Pledges