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MRTCentury Donation Form 2023
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Donation Information
Choose your Team MRTC cyclist and donate before the event. We will let you know the mileage they achieved after the event. Some of our cyclists are upping the anti with a goal to do a Double Century. This adds to your pledge choices! You can donate based on mileage or choose your donation amount.
Team MRTC Members
*
Pick your favorite cyclist or cyclist team to direct your donation.
select one
Christiaan Abildso
Adam Baus
Team CalaCain
Josh Childs
Team CRC Trailers
Colin Dierman
Marc Glass
Nathan Harlan
Gabe Holtzer
Kemp Holtzer
Joshua Lohnes
Chad VanDenLangenberg
Andrew Walker
Amount
*
$105
-
$1 per mile
$78.75
-
75 cents per mile
$52.50
-
50 cents per mile
$26.25
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25 cents per mile
$210
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$1 per mile Double Century (Adam or Josh L.)
$
Add 3% to my total amount to help cover the payment processing fees