DONOR INFORMATION

Note: Fields marked with an asterisk (*) are mandatory.

First Name:*

Last Name:*

Street Address:*

Apt#:

City:*

Country:*

State/Province:*

ZIP Code:*

Phone:*

Email Address:*

Re-type Email:*

DONATION*

Your donations are incredibly appreciated!
Please know that every penny of the net proceeds from registrations and fundraised money beyond event expenses will go toward Fortis Academy's needs for their present and future growth! You can enjoy knowing the miles ran and hiked, and your selfless giving are doing a lot to serve the local students, school staff, and entire community!

Please note that your checkout email will be your proof of donated amount.

Please consider absorbing the donation processing fee so that 100% of your donation goes to our cause.*

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PAYMENT

Credit cards Accepted

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Security Code*

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Cardholder's Name*

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Your Credit Card will be charged

$00.00

By checking this box, I understand that The Driven Race and Club Solutions does not issue refunds or credits. Any refunds/credits or credit card disputes are at the sole discretion of the event. This charge will show as FORTIS-ACADEMY-Lapath and I will save my confirmation email and provide this to others who may review my credit card statement.

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FORTIS ACADEMY - Lapathon

DONOR INFORMATION

DONATION*

PAYMENT

$00.00