YLT

YLT March Madness

The Youth Leadership Tomorrow class is holding a calendar fundraiser. Please purchase a date in March to support a student in the class. The date you chose is the number of times your name will be in the drawing for a $250 VISA gift card! Each student who sells their entire calendar will be entered to win a gift card too.

Example of a date purchase:

You purchase March 14th... Pay $14 with the form below. Indicate which student sold you that day in the "student" field.

Drawing will take place on April 4th.

Date You Wish to Purchase

Which date in March do you wish to purchase?

Payment Amount for the date(s) you have chosen.

If you chose March 1, you owe $1. If you chose March 2 and 3, you owe $5.

Name to be entered in the drawing

First Name *

Last Name *

YLT Class Member you're supporting:

First Name

Last Name

Please list the name of the student who sold you this date

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Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Number

Routing Number

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

YLT March Madness

YLT March Madness

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