Cocktails For A Cure

Total Payable = $<% amount %> + 5% fee surcharge

I'd like to cover the <% calculateProcessingFee(process_fee, amount) %> processing fee.

Total Payable = $<% amount %> + 5% fee surcharge

I'd like to cover the <% calculateProcessingFee(process_fee, amount) %> processing fee.

Donor Name

POST MY DONATION AMOUNT

POST MY NAME

Honor/remember someone with your donation?

Whom do you want to recognize?

Your Note for the Donor Scroll <% donation_notes.length %> / 150

Card Number *

Success! Your Stripe token is

Name*

Address *

Country *

Postal Code*

City *

<% selectedCountry.state_label %> *

Email Address *

Phone *

Organization

I accept the terms of service and have read the privacy policy.
I agree that Eventlify may share my information with the event organizer.

By contributing, I certify that:

This contribution is made from my own funds – not those of another person or entity.
I am not a foreign national, government contractor, national bank, or corporation chartered by an act of Congress.

Federal law requires us to use our best efforts to collect and report the name, email address, organization, and mailing address of individuals.