Recovery Resource Council

Sponsorships

Description

Amount

Total

Donation

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I am unable to attend but would like to give a gift in the amount of

3.5% will be added to help offset processing costs

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.

How did you hear about this event? *

Explain Other:

Comments or Questions:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *