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Amount
*
$1,000
-
"Greased Lightning"
$600
-
"Life is a Highway"
$100
-
"Baby Won't You Drive My Car" Adopt-a-High-Schooler or Middle-Schooler
$75
-
"Low Rider" Adopt-an-Elementary-Student
$50
-
"Wheels"
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add 3% to my total amount to help cover the payment processing fees