DinoMights One-Time Gift from Individuals

Ted Ferrara Memorial Boot Hockey Tournament

This form is an individual tribute donation in honor and memory of Ted Ferrara, if you would like the standard form please click here.

Suggested Donation Amounts:

$600=1 year of hockey for one player

$300=1/2 year of hockey for one player

$200=1 hour of ice time

100=1/2 hour of ice time

$50=1/4 hour of ice time

$600=1 year of hockey for one player

$300=1/2 year of hockey for one player

$200=1 hour of ice time

100=1/2 hour of ice time

$50=1/4 hour of ice time

This is a one time donation

Make this a recurring donation deducted

This form is for one-time donations only. If you would like to make a recurring donation, please click here.

Individual Donor Contact Information

First Name: Last Name: Email: Phone: Address: City: State: Zip: - I would like my donation to be anonymous:

If you would like to leave us a message about your donation, please do so below.

Comment:

DinoMights is a 501(c)(3) nonprofit organization. All donations are tax deductible. Donations will go to general operating funds unless otherwise specified.

Billing Information

Payment method: Credit Card
American Express

E-Check

Credit Card Number: Card Expiration: Credit Card CVV2:

Cardholder First Name: Cardholder Last Name: Billing Address: City: State/Province: Zip Code: -

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E-Check Billing Information Institution: Routing Number: Account Number: Account Type: Account Owner Full Name: Account Holder Email:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.