Donations to Team Santa Fe
This form is secure.
Please don't leave any fields blank on this form. We need to confirm your donation and to secure against fraud.
Personal Information
Name:
Address:
City:
State: Zip:
Country:
Email:
Donation Amount:
Raffle Tickets
Raffle Fund Raising: Imperial Schrade Gift Set (Multi-tool and Binoculars). Value of $80.00. Tickets are $5.00 each.
Number of Raffle Tickets:
Raffle Donation Amount:
Donation Total
TOTAL Donation Amount: (applied to credit card)
Card Information
Credit Card: Visa Mastercard AMEX Diner's Club
Credit Card Number: (55551111111)
Card Expiration Date: (55/55/55)
Name on Card:
Instructions:
