Registration Form
St. Vincent de Paul's Help Thy Neighbor Virtual Walk is on September 25, 2020. Registration is $25 per person. Each person that registers receives a t-shirt, a raffle ticket and a 50% off coupon at our local thrift stores.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Which conference would you like to support? (if left blank, it will go to our general fund)
Shirt Size (adult sizes)
*
Child - Large
Small
Medium
Large
XL
XXL
XXXL
4XL
Which store would you like to pick-up your t-shirt, coupon and raffle ticket (runners packs will be available beginning 9/20/20 ... touchless pick-up will be available)?
*
Castle Shannon
Coraopolis
Monroeville
Penn Hills
Race Registration
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USD
per Registrant
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Submit
Should be Empty: