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JT WALK AND BEACH PARTY DONATION

You are donating in support of Team You Can Count On Us (Team Donation)
 
This page is only for credit card donations. If you wish to register as a Walker and donate, please click here.
 
If you would like to record a check or cash donation, please click here.
Donor Information
Name:
First Last
Address:
City, State Zip:
Email:
Phone:
 
Payment Information   (Click Here if same as Customer Information)
Name on Credit Card:
Address:
City, State Zip:
Credit Card Number:
Security Code  What is it?
Credit Card Exp: /
Credit Card Type:
Donation Amount:
Optional Memory/Honor Information
Honor/Memory Type: In Memory of... In Honor of...
Honoree Name:
 
 
Donations to JT Walk and Beach Party are Tax Deductible (Tax ID # 261698094)