Will you help?

Vic's Richard Bitterman will pedal a
piano across Missouri to raise money for
Fill out the form to pledge your support for Richard's charity ride with a donation.

* = Please fill in all fields.

Company Name:
*Your First Name:
*Last Name:
*Address Line # 1:
Address Line # 2:
Address Line # 3:
*City:
*State:
*ZIP:
*Best Phone:
*E-Mail Address
Pledge Amount $

Type your optional encouraging words for Richard in this box.

Thank You!
Mail donations to:
Vic's Moving & Storage
Interstate Underground
8201 E. 23rd Street
Kansas City, MO 64129

Press the "Submit" button to pledge your support! We will contact you after the ride and arrange to collect your donation.