Florida(527) - Pledge
Home
A Floating Poker Run?
About Us
See our Sponors & Partners
Location and Directions
Pictures to See !!!
Mail In Resgistration Form
Register Here
Make a Donation
Team Pages
How We're Doing So Far!
Sponsor Opportunities
Tell A Friend
Contact Us
Log In
Pledge
Participant name
Amount
Bethune Cookman
Remove
If you have registered online for a previous event with our organization,
please click here to autofill the form
Personal information
First name
*
Last name
*
Address1
*
City
*
State
*
Select one
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Email
*
click here for help
User Login
User name
(maximum 10 characters)
Password
(between 5 and 15 characters)
Re-Type password
Security question
Select a question here
What is your mother's maiden name
What is your favorite restaurant
What is your favorite sports team
Who was your childhood hero
Who is your favorite celebrity of all time
Security answer
Thank you for your matching gift information
Please make sure to let us know what you need us to do to claim the matching gift from your company
Matching gift program
Payment options
Bill Me
Credit Card
Sending a Check
Billing information
If the billing address is the same as the primary address, check this box. If not, please fill out the information below:
Home
Business
Non USA
Address1
*
Address2
City
*
State
*
Select one
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Do you wish to receive e-mail confirmation
Yes
E-mail
Payment information
Card type
*
Select your card
Visa
MasterCard
American Express
Card number
*
Card holder name
*
Card expiration date
*
Select month
January
February
March
April
May
June
July
August
September
October
November
December
Select year
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
©2006 Marketing Response Systems - All Rights Reserved.
Our Partners