CCALS Stroll and Roll

Donation Amount*
Cover Transaction Fees?
- I would like to cover the 3% + $0.30 processing fee so that 100% of my donation goes to the cause.
Payment Processing Fees
Price: $0.00
Total Donation Amount
$0.00
Name*
First Last
Email*
Your tax-deductible donation receipt will be sent here.
Phone
Address*
Street Address City State ZIP Code
Comment
Donation Options
- I would NOT like my donation amount shown
- I would NOT like my name to appear on the fundraising page
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
notificationEmail

Donating To: Alex DaPonte