Susan G. Komen® - DIY Fundraising

Gift Information

Payment Information

Review Gift

Please enter your gift to Company on behalf of Addison At South Tryon.

Gift Information

Field Is Required Select A Gift Amount:

100

150

Enter an Amount ($10.00 Minimum)

Enter amount

Add an additional 3% to offset fees?

Yes, add 3% to my gift total to offset fees

Additional Amount:

Yes, make this an anonymous gift.

Recognition Name:

Yes, you can display the amount of my donation publicly

Personal Note:

Our coaches look forward to helping you!

First Name

Last Name

Your Email

Phone Number

Company Name

Number of Employees

Start of Campaign

End of Campaign

Who is Your Payroll provider

Tell us About Your Fundraising Campaign

Offline Fundraiser Registration Form

First Name

Last Name

Mobile Phone (optional)

OK to Text: Yes No

Your Email

Confirm Email

Is Your Fundraiser... (select all that apply)... With your company (if yes, what is company name)
With your school/group/club (if yes, what is school name)
A memorial or tribute?

What is your anticipated completion date (the last day you plan to collect donations)

Tell us About Your Fundraiser

I would like to connect with a Komen Fundraising Coach