Donation Guidelines
Gift and certificate for one coach: $50   Gifts and certificates for two coaches: $100    Additional gifts and certificates: $10 each
Because of the importance of funding pediatric cancer research, we are unable to provide gifts for donations less than $50.00
Please allow one week for shipping. Expedited shipping is available for $20.00
Please enter information carefully. Our automated system will create your coaches` certificates from this information.

Date Needed
Type of Sport	Select Type of Sport Baseball Basketball Cycling Football Golf Hockey Lacrosse Running Soccer Softball Swimming Tennis Other
Team Name
Sports League
Coach 1 First Name
Coach 1 Last Name
*Gift Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
T-Shirt Size	Select T Shirt Size Medium Large X-Large XX-Large
Coach 2 First Name
Coach 2 Last Name
Gift Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
T-Shirt Size	Select T Shirt Size Medium Large X-Large XX-Large
Coach 3 First Name
Coach 3 Last Name
Gift Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
T-Shirt Size	Select T Shirt Size Medium Large X-Large XX-Large
Coach 4 First Name
Coach 4 Last Name
Gift Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
T-Shirt Size	Select T Shirt Size Medium Large X-Large XX-Large
Coach 5 First Name
Coach 5 Last Name
GIft Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
T-Shirt Size	Select T-Shirt Size Medium Large X-Large XX-Large
Where did you hear about us?	Your league Word-of-mouth Search Engine (Google, Yahoo!) Radio Other
Gift Choice	Select Gift No gift needed Baseball cap Whistle and lanyard T-Shirt
Donation Information
*Donation
Curing Kids Cancer Silicon Bracelets	Choose Item 5 Silicon Bracelets $5.00 10 Silicon Bracelets $10.00 15 Silicon Bracelets $15.00 20 Silicon Bracelets $20.00 25 Silicon Bracelets $25.00 30 Silicon Bracelets $30.00 35 Silicon Bracelets $35.00 40 Silicon Bracelets $40.00 45 Silicon Bracelets $45.00 50 Silicon Bracelets $50.00
View Photo of Silicon Bracelets
*Shipping	Choose Shipping Option Standard Shipping $4.99 Expedited Shipping $20.00
Grand Total:
Donor/Shipping Information
*E-Mail:
Important: Enter a valid e-mail address. Receipts will be sent to this address. Please provide the name and address on file with your credit card.
*First Name:		Name on Credit Card
*Last Name
*Address Line 1:		Address on file w/ credit card
Address Line 2
*City
*State:	Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code:
*Phone:
Credit/Debit Card Information
*Card Number:		No dashes or spaces please
Card Brand:	Choose a Card American Express Discover Master Card Visa
*Expiration Month:	Month January February March April May June July August September October November December	From your card
*Expiration Year:	Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020	From your card
*CVV2
Please click submit to process the transaction.
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