All rights reserved.
FIRST NAME:
LAST NAME:
Your Pledge Amount
(Remember, your pledge amount
will be multiplied by the number of
consecutive hours the DJ
(Transducer) performs at this
event.  PLEASE SPECIFY
DOLLAR and/or CENTS  AMOUNT
of your pledge on the right----->
PLEDGE AMOUNT
Your email address:
Your phone number:
(AREA CODE AND NUMBER)
Comments:
The Robert DiLibero Foundation
THERE ARE 3 WAYS TO MAKE A PLEDGE FOR THIS EVENT!

Pledge online using the form below

OR

Print out the mail in pledge form, fill it out, and mail it to the Robert Dilibero Foundation no
later than March 9th, 2007-- The Robert DiLibero Foundation is located at:
202-11 36th avenue, Bayside NY 11361

OR

Print out the mail in pledge form and drop it off in the Pledge Box located at La Vuelta Bistro
Latino (10-43 44th Drive, Long Island City, NY) anytime before or during the event.
ONLINE PLEDGE FORM
WHEN YOU'RE DONE ENTERING INFORMATION, PLEASE CLICK SUBMIT

I, ________________________ pledge $______.________ for every
Print FULL Name                          Print Amount

consecutive hour that DJ David, aka “The Transducer”, can DJ live

at "The Great Charity Spin" of 2007.



Full Name:                 ___________________________________

Phone Number:         ___________________________________

Home Address:         ___________________________________

Email:                       ____________________________________

Signature/Date:        _____________________________________
Please make sure to review the information at the
bottom of this page before you pledge!  Thanks for
your support!! You are making a difference!
OPTION 2: PRINT PLEDGE FORM
WHEN YOU'RE DONE ENTERING THE INFORMATION BELOW, PLEASE MAIL IT
TO THE FOUNDATION OR DROP IT OFF AT LA VUELTA
*About Pledges: You will be contacted by RDF volunteers in regards to your pledge after this charity
event. The total number of hours completed by the DJ will be multiplied by the amount you pledged. We
ask that you kindly honor your pledges. If you are more comfortable offering a set donation (with a
specific amount you specify) please visit the donation page. (Click Here)  Thank you in advance for
your generosity.***
PRIVACY: The information you provide will not be shared by RDF.