DONOR INFORMATION

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

First Name:*

Last Name:*

Street Address:*

Apt#:

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Country:*

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ZIP Code:*

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Re-type Email:*

DONATION*

If the athlete has guests at the event please make a donation

Please submit a donation that matches the number of guests attending for the athlete. (Hint - it's not really a donation, it's "required"!) Guests must contribute to be admitted. We are using the donation function of our membership platform to simplify collecing guest payments to the event.

Go Flyers!

Four Guests ($40.00)

Three Guests ($30.00)

Two Guests ($20.00)

One Guest ($10.00)

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PAYMENT

Credit cards Accepted

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Expiry Date*

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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 NW-Flyers-JO-Scholars and I will save my confirmation email and provide this to others who may review my credit card statement.

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NW Flyers JO / Scholarship / End of Season Celebration July 18 2021

DONOR INFORMATION

DONATION*

PAYMENT

$00.00