*
Required
Serra Crew ROW-A-THON Donation Form
Name Block
Prefix
First
*
required
Middle
Last
*
required
Suffix
Address Block
Address 1
*
required
Address 2
Address 3
City
*
required
State
*
required
Region
Zip Code
*
required
(ex. 06108 or 06108-0809)
Country
Phone & Ext. Block
Phone
Ext
Email Field
*
required
Please enter the name of the athlete you are supporting:
*
required
(or enter Serra Crew Team)
Options for Donating
Underwrite Crew Equipment
Oarlock - $20
Rigger Parts - $40
Boat Seat - $55
Concept2 Oar - $170
Complete Rigger - $300
Cox Box - $510
Concept2 Ergometer - $950
Set of Oars (8) - $4,000
and/or donate towards:
Please make your selection and enter the amount you would like to donate below:
Coxswain Equipment
New Rowing Shell
Unassigned Donation
Enter the amount you would like to donate
Total
Please send a confirmation email to the address below*: