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*

Please kindly consider an additional donation to support our cause. Your donation will be used to help people in need in our local communities. $250 will pay for a mammogram, $75 will send a chemo care package, $50 will pay a water bill, and $25 will pay for gas or buy groceries.

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

I want to pay the donation processing fee.

I do not want to pay the donation processing fee.

PAYMENT

Credit cards Accepted

Credit Card Number*

Looks good!

Expiry Date*

Looks good!

Security Code*

Looks good!

Cardholder's Name*

Looks good!

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 2020-Women-Rock-Susan and I will save my confirmation email and provide this to others who may review my credit card statement.

Looks good!

Please enter the characters that appear in the image below:*

Can't read image? click here.

Processing Your Request Please wait...

Please enter correct captcha code.

You are unable to register for an event on The Driven Race and Club Solutions platform. Please contact the event director or team@thedriven.net for details regarding your account.

thedriven.net
Dear User, Looks like you are using a browser that our website no longer supports. You could use browsers like Google Chrome or Mozilla Firefox.

2020 Women Rock Susan Hicks Memorial 5K, 10K, & Fun Run

DONOR INFORMATION

DONATION*

PAYMENT

$00.00