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Donation

Donation Amount*

Answer Required

$10.00

$20.00

$30.00

$40.00

$50.00

$100.00

Other:

Designation of donation (Choose a Club)*

Answer Required

Purpose of the donation. (Detailed) *

Example: to be used for football club equipment and other expenses.

Answer Required

Contact Information

Please complete your contact information and a donation receipt will be sent to you upon receipt.

First Name

Answer Required

Last Name

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Phone

Number Required

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required