DONOR INFORMATION

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First Name:*

Last Name:*

Street Address:*

Apt#:

City:*

Country:*

State/Province:*

ZIP Code:*

Phone:*

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Re-type Email:*

DONATION*

All proceeds raised through this event will go to benefit RPC|WE's trusted mission partner, Second Mile, to meet immediate needs for families and help develop long-term goals of self-sufficiency.

Level 1 ($100.00)

Level 2 ($75.00)

Level 3 ($50.00)

Level 4 ($25.00)

Other Amount:

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PAYMENT

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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 Lets-Get-Fit-5K-KidsK and I will save my confirmation email and provide this to others who may review my credit card statement.

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Let's Get Fit 5K & KidsK

DONOR INFORMATION

DONATION*

PAYMENT

$00.00