Discovery Day Supporter
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Business Name
*
Contact Name
*
Contact E-mail
*
Contact Phone - (555) 555-5555
*
Please enter your phone number in the format (555) 555-5555.
Street Address
*
Business Location
*
Business ZIP Code
*
02420
02421
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$125
$150
$200
$300
If you would like to provide a different amount, contact president@shoplexingtonfirst.com.
Total Due
$
You have chosen to pay by check. Therefore, there isn’t a PayPal service charge. For record keeping, we are recording a PayPal service charge of $0.00.
PayPal Service Charge
$
Final Payment
$
If you would like to provide additional support, contact president@shoplexingtonfirst.com.
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This is your last chance to go back and review your Discovery Day support information. When you click Register your information will be submitted.
You will receive a confirmation invoice via e-mail. If you do not receive a confirming e-mail within 10 minutes of submitting your contribution, please check your Junk/Spam folder.
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Register