Gift & Payment Information
2017 Fiesta Medal Donation Form
You will receive a notification when your medals are ready for pick-up.
** If you'd like to have your medals mailed to you, please add $1 for each medal purchased.
For each $10 donation, you will receive one medal. To have this donation applied to Race fundraising efforts, please enter the name of the participant you would like to credit in the "Recognition Name" field below.
Credit Card Information: