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Tri-ing for CV

I want to support “Tri-ing for CV” and The Children's Village!

Name as it appears on card:
Address:
City, State, Zip:
Telephone:	(Please include area code)
EMail:
Would you like to be added to our mailing list?	yes \| no

I would like to contribute per race!	$25 Per Race $50 Per Race $100 Per Race $250 Per Race Other: $
I would like to contribute a flat donation!	$50 $100 $500 $1000 Other: $
Comments or Instructions? (Please let us know of any special instructions for your contribution)	<enter here>
Credit Card Type:	American Express Visa Master Card Discover
Card Number:
Security Code	(Need help finding your code? )
Expiration Date:	/ (mm/yyyy)


Donations are tax-deductible to the extent allowable by law. For more information on how you can help, contact lstutz@childrensvillage.org or call (914)693-0600 x1413