Your Information (* = required fields):
First Name
Last Name*
Address
City
State
Zip
Phone*
E-Mail*
Team TSA Donation
General Donation (no T-Shirts or Car Magnets included) - Please type in the amount you wish to donate (whole dollars) $
Click anywhere outside box to accept
Name of Athlete You are Sponsoring (if applicable):
Event the Athlete is Participating in/Other instruction to TSA:
OR - Donate and receive a Cotton Blend Team TSA T-Shirt or Car Magnet - choose quantities and sizes below:
 
Donate $25 (or increments of $25 per shirt) - (includes shipping charges) - and receive a
Cotton Blend
short sleeve T-Shirt
How many of each size would you like?
Cotton Blend short sleeve T-Shirt dollar Total:
Donate $10 (or increments of $10 each) and receive a teal Magnetic Car ribbon
for Tourette Syndrome Awareness
How many teal Magnetic Car Ribbons would you like?
Magnets Dollar Total:
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