FITNESS4SMILES – PLEDGE FORM

The Smile Asia Cycle, in partnership with True Fitness, is organizing a cycling challenge.

Each team comprises of 3 participants, who will take turns cycling in a relay format.

The aim for each team is to cycle as many kilometers as possible in one hour, as well as to raise funds for Smile Asia through pledges.

Encourage your friends to pledge Smile Asia for every kilometer your team covers!

Stay fit, stay healthy, keep smiling!

I am Supporting Team... *Select your teamTeam F1 RecreationChoice 38

If your team is not found in the list, please contact us at info@smileasia.org

Team XXXX - I am friends/family with (copy) *

• XXXX
• XXXX
• XXXX

Let us know who referred you here!

Pledge Details

Pledger Name *

First

Last

Email *

Phone *

Company

Pledge type *Per KmFixed Amount

Pledge per km *$10.00$5.00$3.00$1.00Custom

I am pledging the following amount for every km cycled

Custom amount per km *

You have chosen a custom amount. Your pledge total will be the above amount multiplied by the total distance cycled by your team.

Pledge amount *

Approximate pledge amount

$0.00

The approximate amount is based of 35 kms.
A typical range of cyclists can vary between 25 - 45 kms, depending on teams’ fitness level.

Terms and Conditions *

• I agree to be contacted by Smile Asia after the event date (9 June 2024) for the commitment of my pledge.

Smile Asia's Privacy Policy

Terms and Conditions for Pledge *

• I agree to be contacted by Smile Asia for the commitment of my pledge.

Smile Asia's Privacy Policy

Pledge Notice!

Your final pledge amount will be dependent on your team's performance (no. of kms cycled) during the event.

The approximate pledge amount shown is an estimate based of 35 kms.

By pledging to this event, no immediate deduction will be made from you.

We will reach out to you again after the event on 11 June to follow up on your pledge.

Pledge Notice!

Your final pledge amount will be dependent on your team's performance (no. of kms cycled) during the event.

By pledging to this event, no immediate deduction will be made from you.

We will reach out to you again after the event on 11 June to follow up on your pledge.

Fixed Amount Pledge Notice!

We will send you the donation link for the commitment of your pledge.

We will reach out to you again after the event to update you on your team's result.

Pledge!