* 1. I pledge to stand in solidarity with those who are low-income by participating in the Poverty Pledge and living off of $3.96/day for:

* 2. I will be participating in the Poverty Pledge because: 

* 3. How did you hear about Poverty Pledge?

* 4. What is your first and last name?

* 5. What organization/school are you participating with? (Please write 'Individual' if you are not participating with an organization/school.)

* 6. Please provide your email for Poverty Pledge registration confirmation.

* 7. Would you like to receive email event invitations, newsletters, announcements and other electronic communications from Winnipeg Harvest?

* 8. Thank you for your participation! If you would like to receive information on other opportunities, we can send you further information from the selections below: