You can pledge simply by filling out this form. Your informationwill be e-mailed to me and recorded. When I return, you'll receivean update on the mileage and information on the actual amountdue.

Name

Street Address

City

State Zip

Phone Number

E-Mail Address

You may sponsor a whole day (daily mileage x $1.00) or a halfday (daily mileage x $0.50). You may also sponsor the whole tripby designating a number of pennies (or dollars, if you're exceedinglyrich) for each mile. A flat rate pledge is also possible, althoughnot nearly as much fun!

Choose one!
Daily Sponsor	Trip Sponsor	Flat Amount
Daily Sponsors: Choose type: Whole Milk ($1.00/mile) Half & Half ($0.50/mile) Now choose your day(s)* (estimated mileage is provided): *To sponsor multiple days, please fill out one form for each day. Day 1 (77) Day 2 (88) Day 3 (77) Day 4 (75) Day 5 (89) Day 6 (67) Day 7 (89) Day 8 (101) Day 9 (56) Day 10 (92) Day 11 (76) Day 12 (55) Thank you!	Trip Sponsors: Estimated mileage is 942. Please indicate the amount of your pledge per mile: cent(s) dollar(s) Thank you!	Flat Amount: Oh, c'mon! Where's your sense of adventure? Are you sure you don't want to guess how long I'll make it? Okay. I tried. Please indicate the amount, and thank you!
Click here to send the information to me!