Student’s Name____________________ School Name___________________

Student’s Email_____________________ School City_____________________

Student’s Cell_______________________School State____________________

Charlotte Catholic
2008-2009
Please have sponsors pre-pay with checks to Invisible Children. Please put an aterisk (*) nect to any sponsor
who wishes to have a tax receipt since all contributions are tax-deductble. Turn in forms and money to Grant
Heskamp, reachable at 7-4=962-6924. Please print legibly. Thank you for your time and effort and remember it
will not go unrewarded. You can receive a $25 dollar gift card of your choice and also a bracelet of your choice
if you raise the most. Set a goal for yourself - $100 -> $500. EVERYTHING IS DUE BY DEC.15.2008.

Area Phone Amount Total

Sponsor Name
Code Number Pledged Collected
John/Jane Doe (Example) [619] 562-2799 $50 $50
1
2
3
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
2
4
2
5
2
6
2
7
2
8
2
9
3
0
Total
Collected