Matthew's Stars Order Form

NOW TAKING ORDERS FOR 2023!
STARS GO UP IN FEBRUARY!

Stars are located in the Recreational and Team gym areas The stars will remain on the wall for one full year once (we will likely have them go up in December). One name per star is all that is permitted.

Order for your child, a friend,
a family member, or someone else!

Recall, all proceeds go to
Matthew's Hope charity!

YOUR Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Area CodePhone Number

How Many Stars Would You Like to Order?

STAR #1) Please place the name for the star EXACTLY how you would like them to read!*

First NameLast Name

Star #1) Please place in:*

Team GymRec Gym

STAR #2) Please place the name for the star EXACTLY how you would like them to read!*

First NameLast Name

Star #2) Please place in:*

Team GymRec Gym

STAR #3) Please place the name for the star EXACTLY how you would like them to read!*

First NameLast Name

Star #3) Please place in:*

Team GymRec Gym

STAR #4) Please place the name for the star EXACTLY how you would like them to read!*

First NameLast Name

Star #4) Please place in:*

Team GymRec Gym

STAR #5) Please place the name for the star EXACTLY how you would like them to read!*

First NameLast Name

Star #5) Please place in:*

Team GymRec Gym

Payment (please check the star amount you are ordering)*

$55.00

Be a Star for a Year and Help the Homeless!

Quantity

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country