Agony Ride - Make A Pledge

Make A Pledge

Please note that pledges paid online will show up on your credit card statement as PayPal.

The information below is used to keep track of your pledge and to notify you of how far your rider rode.

First Name*

Last Name*

Email Address*

CER would like to send newsletters to supporters. If you would like to not receive newsletters just indicate that preference below:

Send Newsletter

After the event CER will need to contact you to let you know how far your rider rode and the total of any outstanding pledges that you have. If you are making a per mile pledge this will be especially important. Please select how you would like for CER to contact you below. Email is preferred as it saves CER postage costs and allows you to quickly checkout using the link in the email. We are happy to mail an invoice as well.
If you chose to be contacted via email please make sure to enter an email address that you have access to and that you check regularly.

Contact Preference*

Address

Address 1*

Address 2

City*

State*

Zip code*

For non-US based addresses, please use the box below:

Use the section below to add as many pledges as you need. If you would like to make a pledge for a rider other than Carol Douglass just select the correct rider from the drop-down list.

Please select the rider that you wish to sponsor:*

What type of pledge would you like to make?*

Pledge Amount - (for a custom pledge leave 0.0 or set to the minimum amount)*

Amount*

If you chose to make a custom pledge please enter instructions below:

Pledge Instructions

Would you like for your name to be published on the rider's public page?*

If you would like to pass a message on to the rider enter it below:

Message

Check the box below if you would like to pay your flat rate pledges now. If you choose to not pay now CER will send an invoice after the event for all of your pledges.

Pay Flat Rate Pledges Now

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