Renewal - Cannonballs Cycling Team Annual Dues

Cannonballs Cycling Team Donation
---------------- Donor ----------------
Company or Organization
First Name*
Middle Name or Initial
Last Name*
Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
---------------- Recipient ----------------
I am donating to:*

Briarwood AcademyCharlotte Bike CampFaith, Hope, and Love Mentoring ProgramTrip For Kids CharlotteRide For PrideCannonballs Cycling TeamOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
---------------- Donation ----------------
Cannonballs Cycling Team is a 501(c)(3) nonprofit registered with the state of North Carolina. Donations to our organization are tax deductible; please consult with your tax advisor for details.
I am donating:*

prevnext( X )
USDDescription
Payment Authorization*

I hereby authorize payment directly to the Cannonballs Cycling Team in support of the charity or service organization identified above.
Enter the message as it's shown*
Should be Empty:

Cannonballs Cycling Team Donation