Foundation Fun Day

Please enter your information below.

Name and Address

First Name *

Last Name *

Email *

Mobile Phone *

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

State (Home)

Event Fee(s)

Scavenger Hunt Team Registration

One Team - $ 25.00

- none -

Please select "one team" to register a team of up to four people above. If not registering a team, select "none".

Raffle Tickets

$25.00
Please enter the number of raffle tickets you would like to purchase in the box above.

Donation

Please enter your donation amount above. Donors of $125 or more by April 20 will be listed as a "Friend of the Foundation Fun Day" and will receive a special gift to be picked up at the Foundation Fun Day Celebration on April 22. (Special gift available to the first 125 donors of $125 or more).

Total

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *