SIRC Membership

Southern Indiana Running Club

Donation Form
I want to contribute as:*

an individuala company
We are a 501(c) not for profit organization and a written acknowledgment of your contribution will be emailed using the address you enter below.
Want to contribute to a specific runner?
Enter the runner(s) name above and the funds will go to that family.
Company Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Choose a Sponsorship Level*
Orange Level
Bronze Level
Bronze Level
Bronze Level
Silver Level
Gold Level
Platinum Level
Select the amount
$5
$10
$15
Other Amount $*
Calculation
Email*
Email Address

Contribution Amount

USDAmount of donation (ex: 1000.00)

Southern Indiana Running Club