Thank You for Your Donation

Instructions Please fill out the following form for your shirt order. You may opt-out and donate the shirt cost. For each $30 shirt donation, $25 pays 1/4 a month youth scholarship. $5 covers cost of shirt.

Name Used for PayPal *(Used to match up Paypal Donation)

Ship To: If different than donor.

Shipping Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Checkbox *

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Thank You for Your Donation

City Champs T-Shirt Form

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Thank You for Your Donation

City Champs T-Shirt Form

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