WIDOW MAKER 2008 PLEDGE FORM Pledge Form I, __________________________, pledge to donate the amount selected below to the University Of Utah Department Of Human Genetics (FBO Cure for Carson). I understand this is a legal 501c3 charitable organization, and my donation will go IN FULL to this department of the University. DONATION AMT (check one) Max Donation (if I make it up the entire 550 feet) o $0.05 per foot $27.50                   o $0.10 per foot $55.00                             o $0.25 per foot $137.50 o $0.50 per foot $275.00                 o $0.75 per foot $412.50                           o $1.00 per foot $550.00 o $2.50 per foot $1375.00              o $5.00 per foot $2750.00                          o $10.00 per foot $5500.00 Riders: Brady McIntyre                         Todd McIntyre                         Brenden McIntyre                              Rick McIntyre Landon Sisneros                       Mike Butterfield                      Scott Christensen                               Randy Mangum Brad Childs                               Todd Lovendahl                        Corey Lovendahl                                Jeremy *You will only be required to donate based on how many feet I climb. Example- if you select $0.25 per foot, and I make it 153 feet up the hill, your donation will be $0.25 X 153= $38.25. Pledges can be made via mail or email to the contacts below. Thank you in advance for your participation! Make checks payable to UofU Dept. of Human Genetics. All Donations are tax deductable. rnkmac@msn.com Cure For Carson PO Box 533 Riverton, UT 84096 Please fill in the following information:  Name: ________________________________________________________________ Address:_______________________________________________________________ Phone: ________________________________________________________________ Email:_________________________________________________________________