'Tri' to stay home
Entry Form
Fellowship & Fundraising for LCRC (Louisa County Resource Council)
June 2020
First Name *
Last Name *
Email address *
Home address to mail Tshirt to. *
Unisex T-shirt size *
We offer 2 methods to pay the $20 entry fee. Please choose the one that you have used.
1) Online Credit Card Payment on the LCRC website: http://www.louisaresource.org/how-to-help.html#

2) CHECK written to LCRC
mailed to
P.O. Box 52
Louisa, VA 23093
*write in the note section who the entry fee is for and if it also includes a donation

Feel free to combine your entry fee with your donation to LCRC (if you are making a donation) using check or online payment.
Please select your chosen method of payment *
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