2019 Lyons Station Donations for Sally
06/08/2019
 
2019 Lyon Station, PA - Celebrating Sally 5k

DONATION PAGE

Donations accepted for Sally Breidegam Miksiewicz Scholarship Fund at Moravian College

If you do not see the Donation Amount you wish to give
Please select the Option Closest to what you would like to give
Then type in the remaining amount in the Additional Donation Box provided

Details and race-day or mailable registration can be found at: https://www.pretzelcitysports.com/race-applications/
  
* First Name:   * required fields
* Last Name:
* Street Address:
* City:
* Select a State:
* Zip/Postal Code:
* Gender: Male    Female
* Age on day of race:
* Date of birth:
* Email Address:
Phone:
Best time to call: Day   Evening   Either
Already receiving Weekly Email Run Updates? Yes    No
Please Add this Amount of Additional Donations to the Amount Chosen below no dollar sign
If you are an East Penn Employee? Please type, Employee
If you are an East Penn Employee: Please type, Which Building
Parent/Legal Guardian Name (required if under 18 on day of race):
 
Race(s)
$10.00 Donation at time of check out: ( $10.00 plus $2.00 service fee through 05/31/2019 )
  Thank you for your generosity, it is greatly appreciated
 
$25.00 Donation at time of check out: ( $25.00 plus $2.00 service fee through 05/31/2019 )
  Thank you for your generosity, it is greatly appreciated
 
$35.00 Donation at time of check out: ( $35.00 plus $2.50 service fee through 05/31/2019 )
  Thank you for your generosity, it is greatly appreciated
 
$50.00 Donation at time of check out: ( $50.00 plus $3.00 service fee through 05/31/2019 )
  Thank you for your generosity, it is greatly appreciated
 

  WAIVER: About the Sally Breidegam Miksiewicz Scholarship Fund -

The Sally Breidegam Miksiewicz Scholarship Fund was created to provide financial assistance to Moravian College Attendees, despite personal challenges and adverse circumstances in their lives. Thank you for your donation.

 

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