| Boat Name: | __________________________________ | ||
| Skipper Name: | __________________________________ | ||
| Address: | ______________________ ______________________ ______________________ | ||
| Postal Code: | ______________________ | ||
| Sponsor/Donor Name | Address | Pledged Amount | Receipt Y/N |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| Sponsor/Donor Name | Address | Pledged Amount | Receipt Y/N |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| ______________________ | ______________________ ______________________ | _____________ | ___ |
| Total Pledged | $_____________ | ||