SAFE Pledge Card Order Form Please only use this to order additional pledge cards if you run out during the school year. Pledge Card Request Form Name Of School: County Name: SAFE Sponsor Name: School/Agency Name: Your Phone Number (000-000-0000): Your Email Address: Shipping Information Please enter your shipping information in the fields provided below. Address: City: State: Zip Code (5 or 9 digits): Student Body Population: Submit Your Information