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Hockey Classic 2023 Hockey Classic 2023
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    Sponsor

    Sponsor Amount
    $
    I would like to cover RCCS's 3% credit card processing fees. My donation total will be $
    JOIN THE POWER PLAY-
    GIVE THEM THE ADVANTAGE
    ADD $25 TO YOUR DONATION TOWARDS A CANCER PATIENT'S CO-PAY
    yes! I'D LIKE TO ADD $25 TO MY DONATION FOR A TOTAL OF $
    Choose a participant you wish to sponsor
            
    Personal Information
    First Name: *
    Last Name: *
    Company Name:
    Address: *
    City: *
    State: *
    Zip Code: *
    Country: *
    Phone Number: *
    Cell Phone:
    Email Address: *
    Payment Details
    You will be charged $


                
    Account Type *
    Routing Number *
    Account Number *
    Card Type: *
    Card Number: *
    Exp. Month: *
    Exp. Year: *
    Security Code: *
    Additional Information (optional)
    Donation Type
         
    Name
    To have us notify them/their family a gift has been made in their name, please enter an address or email address, and your message below:
    Additional Comments:
    How Did You Hear About Us?
     Please mail a receipt to the address above (in addition to the receipt I will receive via email).
    Personalize your message (optional)
    Please add the following comment to the ticker on 's personal page.  (eg: In honor of xxx)
      Please display me as anonymous on the ticker at 's personal page.
    RCCS is a non-profit 501c3 organization.
    Only enter this field if you were told to do so by a staff member.
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