Harbor House Ministries · Move - a -thon Pledge Form

Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Future Communication Preferences

*

Tell us how HHM can best communicate with you.

Please send HHM updates to my email address.

Please add me to your mailing list.

Please do not send future communications apart from this pledge opportunity.

Would you like to volunteer at the event?

*

Yes

No

Would you like to make a pledge?

*

Yes

No

Who do you want to support?

*

Tell us who you want to support.

Anchor Place

Beacon Place

Pier Place

The general HHM campus

What distance option would you like to cover with your pledge?

*

Lap

Mile

Flat amount for any distance

What is your pledge amount?

*

Tell us how much you will pledge per your distance option.