
Empowering Others To Succeed
| First Name* |
| Last Name* |
| Email* |
| Home Address* |
| Flat Rate Donation |
| Pledge Per Mile |
| Approx. Total Pledge Per Mile (amount x 60 miles) |
| Comments/Questions |
Call 920-585-4337 or click here.
Please note: Opportunity for Excellence has the ultimate authority to use contributions at our discretion for purposes consistent with our exempt purpose.
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