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Donation

* Mandatory fields
 

PRIMARY MEMBER

*First Name
First name of Primary Member. This must be an adult, except for Swim Team Teen Memberships, where the teen is the only member.
*Last Name
Last name of Primary Member. This must be an adult, except for Swim Team Teen Memberships, where the teen is the only member.
 

CONTACT INFORMATION

*E-mail Address
*Phone 1
Please list your primary phone number in the following format: XXX-XXX-XXXX
Phone 2
If desired, list a secondary phone number in the following format: XXX-XXX-XXXX
*Street Address
Please format as follows:
123 Main St., Apt. 456
*City
*Zip Code
*Donor Name/Contact Person
Name you would like listed as the donor on any announcements or published lists. This can be your first and last name, family name (The Smith Family), or company name. To remain anonymous, please write "anonymous".
Donor Company (if applicable)
*Contact Email
*Contact Phone Number
*Contact Address
*Donation Amount ($USD)
Please note that donations to SORA are not tax deductible, as we are a 501(c)(7).
 Payment frequency
Comment
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On Behalf Of (if applicable)
 
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