| Name: | ____________________________________________________________ |  |
| Street Address: | ____________________________________________________________ | |
| City, State, Zip: | ____________________________________________________________ |
Monetary donations to The Susan G. Komen Breast Cancer Foundation* are one way to support Erika on her 4,200 mile ride across the country. I am pledging:
| (check one) | |||||||||
| ________ | $ | 142 | ________ | $ | 4,200 | ||||
| ________ | $ | 420 | ________ | $ | 10,420 | ||||
| ________ | $ | 1,042 | ________ | OTHER $________ (please fill in any amount you find comfortable) | |||||
