W3R Garden Party 2022 – Check Payments

"*" indicates required fields

Your Name*

First Last

Phone Number

Mobile

Email Address*

I am also a member of this related "Revolutionary" organization (DAR, SAR, etc.)

Billing Address*

Street Address Address Line 2 City State ZIP Code

Use different shipping address

Shipping Address

Street Address Address Line 2 City State ZIP Code

Donation Amount*

Total

Please check the box below to confirm you will be paying via check in person day of the event. If paying via credit card, return to previous page and use the Paypal form.

I will be paying in person via check made out to W3R-US.

Comments

This field is for validation purposes and should be left unchanged.