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Sponsor Amount
$
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I would like to cover RCCS's 3% credit card processing fees. My donation total will be $
I WANT TO RAISE THE BAR
Increase your donation by 100% and pay it over 12 months
yes!
I'd like to increase my donation by 100%
You are sponsoring
Team Test
Personal Information
First Name:
*
Last Name:
*
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Address:
*
City:
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*
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Phone Number:
*
Cell Phone:
Email Address:
*
Payment Details
You will be charged $
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OJC
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Account Type
*
-- Select One --
Checking
Savings
Routing Number
*
Account Number
*
Card Type:
*
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OJC
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*
Exp. Month:
*
-- Select One--
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02-February
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Exp. Year:
*
-- Select One --
2024
2025
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Security Code:
*
Additional Information (optional)
Donation Type
General Donation
In Memory Of
In Honor Of
For The Recovery Of
Name
To have us notify them/their family a gift has been made in their name, please enter an address or email address, and your message below:
Additional Comments:
How Did You Hear About Us?
Please mail a receipt to the address above
(in addition to the receipt I will receive via email).
Personalize your message (optional)
Please add the following comment to the ticker on
Team Test
's personal page.
(eg: In honor of xxx)
Please display me as anonymous on the ticker at Team Test's personal page.
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