Miles for Mental Health: Pledge Form

Miles for Mental Health: Pledge Form
Instructions:
Complete your pledge below. We will contact you with Ron's total mileage and a reminder to fulfill your pledge at the end of May.
Donor Information:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I pledge to donate:

$0.25 per mile$2.50 per mile$0.50 per mile$5.00 per mile$1.00 per mileOther
One-Time Donation Amount
Preferred Contact Method:

EmailTextPhone Call
Message for Ron (optional)
You're almost done!

Thank you for championing the cause of mental health - because everyone deserves the tools to heal and thrive.

By submitting this pledge, you're joining Ron on his mission to pedal for purpose all May long. We'll follow up at the end of the month with his total mileage and your final donation details. No payment is required today.

Together, every mile matters.
Should be Empty:

Donor Information: