Event

8th Annual Y Freedom Tri

3919 Liberty Drive
Pearland, TX 77581
United States

Sunday, June 29, 2014

7:00 AM

☰

Donor Information

First Name:*

Last Name:*

Street Address:*

Apt#:

City:*

Country:*

State/Province:*

ZIP Code:*

Phone:*

Email Address:*

Re-type Email:*

Donation*

Annual Campaign

With your support of the Y Freedom Tri, the Vic Coppinger YMCA is able to provide funds to those who most need it through the Annual Campaign. Everyone deserves a YMCA and the benefits of its membership. Unfortunately, not everyone can afford a membership and/or program costs. That is where the Annual program helps. Thanks to the Annual Campaign, the YMCA continues to remain flexible in its fee structure.

Please signup for the race and then consider a donation above and beyond your registration fee to help those most in need.
*The YMCA is a 501(C)(3) charitable organization. All gifts above your registration fee are tax deductible.

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

Donate on Behalf of:

Donate in Memorial of:

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 8th-Annual-Y-Freedom- 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.