First Name:*

Last Name:*

Street Address:*

Apt#:

City:*

Country:*

State/Province:*

ZIP Code:*

Phone:*

Email Address:*

Re-type Email:*

Donation*

All donations will go to the Honor361 organization. The mission of the South Texas Iraq Afghanistan War Monument is to honor and preserve our Fallen Warriors who gave their lives and Those who served in Operation Iraqi Freedom, Operation Enduring Freedom and all operations in the war on Terror. We will build a monument that will educate our community and our children on the sacrifices to protect our freedoms. This goal is essential to ensure their sacrifice will not be forgotten. We believe that we must preserve the legacy of Our brave men and women and teach the value of remembering their sacrifices. We also want educate our Grateful Nation about the sacrifices being made by Gold Star Families and Service Dogs who support our Warriors that protect our freedoms.

Platinum ($100.00)	Gold ($75.00)
Silver ($50.00)	Bronze ($25.00)
Other Amount:

Donate Anonymously

Please consider absorbing this 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*

Expiry Date*

Security Code*

Name On Card*

Your Credit Card will be charged

$00.00

By checking this box, I understand that The Driven Ticketing, Event & 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 Swim-Bike-Run-with-Ho and I will save my confirmation email and provide this to others who may review my credit card statement.

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

Can't read image? click here.