Water for People Pop-A-Shot Donation Form - Indiana WEA

2024 CORE Conference – Donation Raffle Entry

Thank you for participating in our fundraiser at the 2024 CORE Conference! Your $10 donation will go towards Water for People and gives one (1) raffle entry to win a Yeti cooler. You must be present at the end of the day to win.

Name(Required)

First Last

Email(Required)

Product Name (Required)

Price: $10.00

Total

Payment Type:(Required)

Credit Card

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2024 CORE Conference – Donation Raffle Entry

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