Archbishop Edward A. McCarthy High School

Other Donation Dedication

In name of:

Other opportunities to show your support

Gift Cards & Certificates for Raffle Prizes - any $ amount - are welcome.

For questions or for more information please contact the
ADVANCEMENT OFFICE 954-434-2407
mfrench@mccarthyhigh.org
Mrs. Maria French

Student Name:

Golfer Information

Golfer #1 Name:

Address:

Email:

T-Shirt Size:

Golfer #2 Name:

Address:

Email:

T-Shirt Size:

Golfer #3 Name:

Address:

Email:

T-Shirt Size:

Golfer #4 Name:

Address:

Email:

T-Shirt Size:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *