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Donate to the CAC

Please use the following form to make a safe, secure online donation or sponsorship payment for the 5K 4Kids by Nike. If you are interested in making a general donation or supporting the Center through one of our other seasonal events, you can select one of the options below.

Help support the 5K 4Kids by Nike

Thank you for helping kids by supporting our 5K 4Kids by Nike! Please complete the form below to make your secure, tax-deductible donation or sponsorship. You will receive an email confirmation of your gift.

Please note: you cannot register to run or walk in the event by completing this form. To register for the event, go to www.racesonline.com and look for the April 23, 2010 5K 4Kids by Nike on the list on their homepage. If you want to make a donation or sponsorship payment and also register for the event, there is a link to www.racesonline.com at the end of this form for your convenience.

Your Information:

* - Denotes Required Field

Organization

Title:

*First Name:

*Last Name:

*Address line 1:

Address line 2:

*City:

*State/Province:

*Zip:

*Country:

Is this your home
or business address?

Home
Work

*Daytime Phone:

(area code first)
Home
Office
Cell

*Email Address:

Home
Work

Would you like to receive occasional email updates about how your gift helps kids and other Center activities? (We don't share your email with anyone and you can unsubscribe any time.)

Yes
No

Choose how to help

	Sponsorship Payment. I am making a payment on my Elite, Platinum, Gold or Silver Sponsorship. For more information on sponsorship levels, click here.
	Please fill in amount of 5K 4Kids Sponsorship here $
	5K 4Kids Friend Sponsorship. I would like to support the Center's work with kids by becoming a 5K 4Kids Friend for a donation of $500 or more.
	Please fill in amount of 5K 4Kids Friend gift here $
	Other 5K 4Kids Gift
	Please fill in amount of 5K 4Kids Friend gift here $
	Total Amount: $

Gift Information (optional)

If your gift is in memory or in honor of someone, please complete the area below:

My gift is not in memory or in honor of a specific person

My gift is in memory of (name as you want it to appear)

My gift is in honor of (name as you want it to appear)

Name and address of person(s) to notify of memorial or honorarium:

Title:
*First Name:
*Last Name:
Relationship to:
*Address line 1:
Address line 2:
*City:
*State:
*Zip:
*Country:
Your name as you would like it to appear on the honoree card

Total value of donation must be above zero.

When you submit your form, you will go to our secure Transaction Central site to process your credit card application.

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