Pledge of Support Form

Climb For A Cause (CFAC) is a private, nonprofit, volunteer services organization dedicated to providing dental and related health care and education to indigent children and young adults in developing countries and the United States. CFAC strives to empower people around the world to achieve long-term self-sufficiency and has, for the past 8 years, worked with hundreds of health care professionals, and lay people in keeping with their mission to improve the world…one mouth at a time.

To support their ongoing efforts The Tenth Annual Climb For A Cause is attempting an ascent of Mt. Hood, Oregon’s tallest point.

You can help us reach our lofty goals! Return this letter with your tax-deductible donation and become part of our success. Please make your check payable to Climb for a Cause. Or, you may make your pledge on line at www. http://www.climbforacause.org/DCFAC2006/CFACpledgeform.html

I Support ______________________________ and Climb for a Cause!

Hiker’s Name

Your name_________________________________________________________

Address____________________________________________________________

City/State/ZIP_______________________________________________________

Phone_____________ Fax_____________ Email__________________________

A confirmation of your contribution and participation gifts will be sent to the above address. Please check your contribution amount below.

__________ $25-$49 -- Receive

$50-$99 -- Receive the above, PLUS

$100+ -- Receive the above, PLUS an invitation to our Gala Post-

Hike Celebration!

__________ Other -- _______________________________________________

Please return your contribution to:

Dr.

Street

City, State, Zip