Hit-A-Thon 2012

10th Annual Elkins Baseball

Hit-A-Thon Pledge Form
Full Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Pledge Information
Player Name
Flat Rate Pledge
Per Foot Pledge
Credit Card Information
Type of Card
Name on Card
Credit Card Number
Exp. Date (Mo/Yr)
Card Security Code
Additional Information
Should be Empty: