Sponsor

You are sponsoring Team Green Girls

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: *

State: *

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:

Personalize your message (optional)

Please add the following comment to the ticker scroll on Team Green Girls 's personal page.

Only enter this field if you were told to do so by a staff member.

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