Standard Chartered Mumbai Marathon 2011

PLEDGE SHEET
SUMMARY
Dear United Way of Mumbai,

I am happy to confirm that I have successfully raised pledges for ____________________________________ worth
Write the name of your NGO here
Rs. _____________ (in words- Rs. ________________________________________________________________.

I am attaching pledge sheets providing a detailed breakup of the people who have supported me.

I understand that you will provide a receipt to each contributor listed in the sheets. Please note the following details:

My Name: __________________________________________________________________

Category:

Dream Dream Dream We Care Corporate

Champions Wizard Maker Challenge

Corporate Name: ____________________________________________________________________

Address: _____________________________________________________________________

City: _____________________________________Pin code: _________________________

Email Id: ___________________________________ Phone No: ________________________

Pledge Details: Mode of Payment No. of Pledgers Amount in Rs.

Cash

Cheques

Total

I am enclosing all the cheques received, and also a cheque no. ________________ dated _______________ favoring

“United Way of Mumbai” for the amount of cash collected as above.

Signature: ________________________________________ Date: ___________________

Please staple the pledge sheets to this summary sheet and mail it, along with the cheque(s), using the pre-addressed
envelope provided to:
United Way of Mumbai, 309/25, Kewal Industrial Estate, Senapati Bapat Marg, Lower Parel (West), Mumbai- 400 013.
Tel: +91-22-24937676/86, Email: scmm@unitedwaymumbai.org

Receipts & 80G certificates: 80 G receipts for all your pledgers will be sent directly to you, so that you can send it to
them with a personalized thank you. We request you to fill in your address and contact details correctly, as it will help us
to send the 80 G certificates. Receipts will be given for all foreign donations but not an 80-G tax benefit Certificate.

The pledges raised by you will be disbursed to the charity you have chosen, after deducting a nominal service charge.

All personal information provided, including address, will be kept strictly confidential and used only for internal and
statutory compliance purposes. Names of donors will be disclosed on our website. Complete addresses of the donors
are now required by the Income Tax Act and pledges sent without full addresses will be returned.
Online Giving Page: You can also create your own online Page that your friends and family can visit and make secure
online donations. Just log on to our website at www.unitedwaymumbai.org and follow the instructions