Additional Pledges:

Name:              Pledge Amount

9.

10.

11.

12.

13.

14.

15.

16.

There will be prizes awarded for  collecting pledge at the following level:  $250 = water bottle          $500 = nylon gym bag                $1000 = hooded sweatshirt    

Pledge prizes will be awarded at the walk!  

Walk About Talk About Autism 2007 Registration www.asa-kal.org

Kalamazoo/Battle Creek Chapter Autism Society of America

     1-800-628-6421

If you would like to volunteer to help on the day of the walk—please contact Tamara or Trina at:

 tsmall@....

twood@...  

All walk forms & map  available on our website.

       Name:                  T-Shirt Size:    (indicate if it is a child or adult size shirt)              

1.

2.

3.

4.

5.

6.

7.

8.

Additional Pledges:

Name:              Pledge Amount

9.

10.

11.

12.

13.

14.

15.

16.

There will be prizes awarded for  collecting pledge at the following level:  $250 = water bottle          $500 = nylon gym bag                $1000 = hooded sweatshirt    

Pledge prizes will be awarded at the walk!  

Walk About Talk About Autism 2007 Registration www.asa-kal.org

Kalamazoo/Battle Creek Chapter Autism Society of America

     1-800-628-6421

If you would like to volunteer to help on the day of the walk—please contact Tamara or Trina at:

 tsmall@....

twood@...  

All walk forms & map  available on our website.

       Name:                  T-Shirt Size:    (indicate if it is a child or adult size shirt)              

1.

2.

3.

4.

5.

6.

7.

8.