Payment | Donation FormEnter in all required fields. FeesJTD Team Fee Payment Full Team Amt($190) Half Team Amt ($95) Other Team Amt JTD Team Fee (Other) Enter in an amount to go towards your team fee.Team Member Name(Required) To whom should this team payment be applied to?JTD #(Required) Which JTD# is the Team member working?Pilgrim Fee Payment Full Pilgrim Amt ($190) Half Pilgrim Amt ($95) Other Pilgrim Amt Pilgrim Fee (Other) Enter in an amount to go towards your pilgrim fee.Pilgrim Name(Required) To whom should this pilgrim payment be applied to?JTD #(Required) Which JTD# is the Pilgrim attending?DonationsDonation for Scholarship Account Enter in an amount for your donation.JTD # Which JTD# should the scholarship be applied to?Candlelight Donation Enter in an amount for your donation.JTD # Which JTD# should the Candlelight donation be applied to?Contact InformationName(Required) First Last Phone(Required)Email(Required) Mailing AddressAddress(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Subtotal $0.00 Processing Fee Price: $0.00 A Convenience fee of 4% will be added to all online transactions. Total Credit CardCard Details Cardholder Name Any questions regarding your transactions, contact the JTD BOD Treasurer, Cheryl Brown at crby92@gmail.comEmailThis field is for validation purposes and should be left unchanged.
