WI Lantern Walk Registration & Support

Quantity
Price
Total
Register Participant

Includes Lantern

X
$
20.00=
$
0

Register Deluxe

Includes Lantern & Tshirt

X
$
25.00=
$
0

Register Team Leader

Incl Lantern & use Download Pledge Sheet

X
$
20.00=
$
0

Register Team Leader Deluxe

Incl Tshirt & Use Download Pledge Sheet

X
$
25.00=
$
0

Walk Supporter #1
X
$
100.00=
$
0

Walk Supporter #2
X
$
75.00=
$
0

Walk Supporter #3
X
$
50.00=
$
0

Walk Supporter #4
X
$
40.00=
$
0

Walk Supporter #5
X
$
20.00=
$
0

Walk Supporter #6
X
$
10.00=
$
0

Final Total:
$
0
Tribute Information

Which team or person you are supporting: Note in "Tribute" above

 

Download Team Fundraising Sheet to help support our work(above registration)

 

 

PRIZES for:

 *Most Team Participants

*Most Money Raised

*Fastest 5K Runner

 

 

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code