Sponsoring a Participant for the
2016 America's 9/11 Ride

Your Sponsorship is Tax Deductible
 If you employer supports matching donations, please keep the Foundation in mind

First Name: Required.
Last Name: Required.
Address: Required.
City Required.
State/Province Select State or Province   Zipcode Required.Minimum number of characters not met.Exceeded maximum number of characters.
Country
Phone Number Required.Invalid format.   Alt Phone Number    Invalid format.
Email Address A value is required.Invalid format.
Participant you wish to Sponsor
 First Name   Required.    Last Name    Required.
Would you like to Receive
A Montly/Bi-Monthly EMail
From the Foundation?
Yes No

  Credit Card Billing
  Address the Same?

  (Check Box) If The Same
Credit Card Information
  First Name   Required.  Last Name   Required.
  Billing Address:  Required.
  City                   Required.
  State/Province   Select State or Province    Zipcode   Required.Minimum number of characters not met.Exceeded maximum number of characters.
  Country             

Credit Card Type

Amex no longer accepted - due to its costs
Credit Card Number Required.Invalid format.  (Without Spaces or dashes)
CVC Number A value is required.Minimum number of characters not met.Exceeded maximum number of characters.Invalid format.  (on back 3 digit code)
Credit Card Expiration Month Select Expiration Month.A value is required.    Credit Card Expiration Year   Select Expiration Year
Sponsorship Amount   $
Comments:(optional)  

By Clicking the "Submit entry" you are allowing
The America's 911 Foundation, Inc. to charge your Credit Card.

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