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MRTCentury Donation Form
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
Pledge Information
Choose your Team MRTC cyclist and donate your pledge amount before the event. We will let you know the mileage they achieved after the event.
Team MRTC Members
*
Pick your favorite cyclist to pledge your donation.
select one
Christiaan Abildso
Adam Baus
Stephen Cain
Colin Dierman
Ethan Flanigan
Marc Glass
Gabe Holtzer
Kemp Holtzer
Charlie Shobe
Michael Simms
Kristina Vrouwenvelder
Amount
*
$105
-
$1 per mile
$78.75
-
75 cents per mile
$52.50
-
50 cents per mile
$26.25
-
25 cents per mile
$
Add 3% to my total amount to help cover the payment processing fees