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Welcome "Pals of Pegasus"! Please know that every single dollar that you give goes directly to the program, thus letting the smiles & laughter of our special riders soar!

Donation Form - General

Donation Amount:

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I would like my donation to recur:

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Amount you would like to recur:

Frequency of donation:

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This is for a special occasion:

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I would like to be placed on your mailing list:

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No

I would like to be placed on your email list:

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No

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

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At least one phone number is required.*

Mobile Phone:

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Email:*

Credit Card Information

Card Types Accepted:
Visa

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Expiration Date:*

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Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.