$50 Donation to BIP Program
UPON REGISTRATION PLEASE BE SURE TO PROVIDE THE FOLLOWING:
1) A WORKING EMAIL
2) THE CORRECT SPELLING OF YOUR NAME (If you have more than 2 names, place up to 2 names with a space in the "NAME" window, up to 2 names in the "LAST NAME" window)
3) The name of the person going on the CERTIFICATE, NOT THE NAME OF THE CREDIT CARD HOLDER
IF CHANGES HERE ARE NEEDED TO MADE BY ADMINISTRATION,
A POTENTIAL "ADDITIONAL FEE" OF $20 WILL BE ASSESSED.
PLEASE REVIEW YOUR INFORMATION BEFORE YOU SUBMIT IT!