RALSTON HOUSE 2011
.5K ENDURANCE CHALLENGE PLEDGE FORM



Name of Participant/Team:_________________________________________________________________

Phone:_______________________________   E-mail:____________________________________________

Sponsor Name                                                  Address                                          E-mail                                         Pledge $        

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Please make checks payable to:  Ralston House                        Total Pledge $:________________
Return forms and money collected to:   
Ralston House, 10795 W. 58th Avenue, Arvada, CO  80002 

Or bring with you on race day.        

www.ralstonhouse.net
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