Sponsor

You are sponsoring Sol Wyler

Sponsor Amount $ (e.g. 180.00)

I would like to cover Kids of Courage's 3% credit card processing fees. My donation total will be $

Personal Information

First Name: *

Last Name: *

add company name please display my name differently on the scroll.

Address: *

City: *

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Zip / Postal: *

Country: *

Phone Number: *

Cell Phone:

Email Address: *

Payment Details

Your card will be charged $

Card Type: *

Card Number: *

Exp. Month: *

Exp. Year: *

Security Code: *

Additional Information (optional)

Donation Type

General Donation In Memory Of In Honor Of For The Recovery Of

Name

To have us notify them/their family a gift has been made in their name, please enter an address or email address, and your message below:

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Please add the following comment to the ticker scroll on Sol Wyler's personal page.

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Kids of Courage is a non-profit 501c3 organization.