United Endowment Fund

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for choosing to support United Endowment Fund's 3rd Annual Beach Walk-A-Thon. We appreciate your commitment to our cause and look forward to your involvement. Your generosity will enable us to continue to make a difference in the lives of those we sustain through our efforts.

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Description

Amount

Total

Walk-A-Thon Registration(s)

$10.00

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Family of 4

$35.00

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Additional Donation

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Total: $0.00

Donation

donation

Your 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.

T-Shirt Size:

Newsletter:

Check here if you would like to receive our montly newsletter.

Additional Information:

Joining Team:

Select name of the team you are joining. If you're creating a new team or if your team is not listed enter it below.

Your Team Name:

If your team name is not listed above, please include here.

What Kind of Team are you?

Business, Church, School, Family, Organization, other?

Addtional Team Members:

Team Member 1:

T-Shirt Size:

Team Member 2:

T-Shirt Size:

Team Member 3:

T-Shirt Size:

Comments/Questions:

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *