St. Patrick's Day Luncheon Fundraiser Donation

Your Information

Edit

First Name*

Last Name*

Email*

Phone number*

Send email updates

Edit ,

Address line 1*

Address line 2

Country

City*

Zip*

Employer Information

Law requires we ask for your employer and occupation. If you do not have an employer or are retired, check "I do not have an employer". If you are self-employed put "self-employed" in employer and describe your occupation.

I do not have an employer

Employer*

Occupation*

Employer address line 1*

Employer address line 2

Employer Country*

Employer City*

State/Province*

Zip*

Contributions are not tax deductible.

Contribution rules:

• I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.

• My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank.

• I have not received any funds from another person or entity for the purposes of making this contribution.

• I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person.

I confirm that the above statements are true and accurate

$30.00