Mercy LIGHT Challenge

Pledge form

* indicates required field

*First name:

*Last name:

*Street:

*City:

*State: *Zip code:

*Email:

*I'm pledging in support of:
Frank
Dave
Both

*I'm pledging:
25 cents per pound
50 cents per pound
$1 per pound
Other

I'd like to receive information about Mercy LIGHT. (Optional)

You’ll receive a letter at the end of the challenge stating how much each participant lost and your pledge total. The letter will contain instructions as to where to send your check. Thank you for participating in our challenge!