Walk for Wilai Sponsorship Pledge

Walk for Wilai

Sponsorship Pledge Agreement
Name of Pilgrim you are sponsoring

First NameLast Name
Your Name*

PrefixFirst NameLast Name
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please select a pledge option: (Displayed totals based on maximum walkable kms.)*

10 cents per kilometre ($24.00 total)50 cents per kilometre ($120.00 total)$1 per kilometre ($240.00 total)$10 per kilometre ($2,400 total)Other
Upon completion of the Pilgrim's 'Walk for Wilai':

*I agree to receive an invoice from the Wilai Foundation Ltd. for my nominated sponsorship amount and
*I understand that the final amount payable will be based on the total kilometres walked by the Piligrim I am sponsoring, multiplied by my selected per kilometre sponsorship amount unless I nominated a Set Total Amount, in which case, this will be the amount payable.
*I agree to pay my pledged amount via the Wilai Foundation Ltd.'s Paypal, or Chuffed account, or Direct Debit to the Wilai Foundations Ltd.'s bank account; or by cheque made payable to the Wilai Foundation Ltd.
*I agree to make my payment within 30 days of receiving an invoice from the Wilai Foundation Ltd.

By clicking the "Submit" button below, I am indicating my agreement to the above Terms and Conditions...
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