Last Skier Standing Pledge Form
Please fill out this form to pledge your support to the Bridger-Teton Avalanche Center
Dr. Marc Domsky wants to use his participation in the Last Skier Standing event to raise money for the Bridger-Teton Avalanche Center. Please pledge a per hour amount, every hour Marc ski's is what you pledge.
Donor Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Pledge Details
Pledge Terms
I will donate for each hour skied by Dr. Marc Domsky.
Payment Information
prev
next
( X )
USD
Description
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Receipt Request
Please send me a receipt for tax purposes.
Additional Comments
Date
-
Month
-
Day
Year
Date
Signature
Submit
Submit
Should be Empty: