Fundraising Extension
Bike MS: Oxford 2016
We have relaxed our fundraising deadline for Bike MS: Oxford. This Fundraising
Extension gives riders until September 25, 2016 to raise $300. When picking up rider
packets, just supply us with credit card information (as a promise-to-pay), and the
fundraising extension is granted. This is a great way to make Bike MS available to all who
wish to participate. If the $300 fundraising minimum is not met by September 25, 2016,
we will then (and only then) charge credit cards for the remainder of the fundraising
minimum due.
Date:
This is to acknowledge that I,
, have not
(Name of participant)
turned in the $300 fundraising minimum necessary to participate in the Bike MS:
Oxford Ride on August 6-7, 2016. The National Multiple Sclerosis Society, Ohio
Valley Chapter has agreed to let me participate with the understanding that I have
to turn in the remaining balance by September 25, 2016. If my $300 minimum is
not met by that date then I authorize the National Multiple Sclerosis Society, Ohio
Valley Chapter to charge the remaining balance to my credit card to satisfy the
minimum fundraising total required to participate in the event.
CREDIT CARD INFO:
Visa
MasterCard
Discover
American Express
Credit Card #:
Expiration date:
Name on Card:
Security Code:
Authorized Signature:
Address:
City:
Thank you!
State:
Zip:
PRINTED NAME
SIGNATURE / DATE
Daytime phone #:
Email address:
JOIN THE MOVEMENT
4440 Lake Forest Drive Suite 120 Cincinnati Ohio 45242 tel +1 800 344 4867 fax +1 769 6019 fightMStoday.org
www.fightmstoday.org