Plogging for Hunt Hill: Virtual 5K
Full Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Plogging Kits
Preferred method of pick up for plogging kits is by stopping by the office, N2384 Hunt Hill Rd, Sarona, WI. But if you cannot pick up in person, please indicate below if you would like it sent to you.
I will:
pick up plogging kits in person.
need it sent to the address above.
not take a plogging kit.
Payment
Please check if you would like to sign up as an Individual Plogger or Family Plogger below.
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Individual Plogger
$
25.00
Quantity
1
2
3
Family Plogger
Include yourself in the number of participants.
$
100.00
Number of Participants in your Family:
2
3
4
5
6
Donation
$
10.00
Amount
$10
$15
$25
$50
$100
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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