October 13th 2:00 - 5:00 pm (Walk begins at 3:30)

$21 for 21

STEP
1

Make a Selection:

Make A Donation

October Fundraiser

Your Total:
$0.00

This is a secure transaction

Your information is being collected by Click & Pledge on behalf of 21 United. Click & Pledge does not share or sell info to third parties. For a detailed review of our privacy statement, visit our TRUSTe approved Privacy Statement.

Thank you for your support!

STEP
2

Enter Your Contact Info:

About Your Privacy
Click & Pledge will never sell or give your personal information to third parties. Read our privacy statement for details. Your checkout information must match your credit card information. Your Email will be used to send you a receipt of your donation / purchase.

First Name* Last Name* Address1* Address2 City*

State / Province*

province

country* Zip Code / Postal Code phone* email address* confirm email*

STEP
3

Enter your Payment Info:

we accept these
Credit Cards:

YOUR TOTAL:

Select your Payment Type Credit Card eCheck

Name (As It Appears on Card)*
Card Number*
Expiration Date*

Verification Security Number*

I understand that this charge will appear as "21 United" on my statement.

STEP
4

Terms & Conditions:

I HAVE READ AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS.

I hereby waive all claims against 21 United of Mississippi, sponsors, or any personnel for any injury that I, or my family members might suffer in this event. I attest that I and my family members are physically fit and prepared for this event. I grant full permission for organizers to use quotations from and photographs of me and my family members in legitimate accounts and promotions of this event.

Online registrations on or before October 2nd are guaranteed a t-shirt. Online registrations after October 2nd and walk up registrations will get t-shirts on a first come, first served basis while supplies last.

STEP
5

Submit Your Transaction :

CLICK THE BUTTON BELOW TO
SUBMIT ORDER

Your Confirmation
After you submit this transaction you will receive a confirmation email at the address you provided above. If you do not see a confirmation email, please check your email again later and/or check your spam folder for the confirmation. If you do not receive a confirmation, please contact us: support@clickandpledge.com.

Make A Donation

October Fundraiser

Your Total: $0.00

This is a secure transaction

Thank you for your support!

we accept these Credit Cards:

We are reviewed and Certified By:

CLICK THE BUTTON BELOW TO SUBMIT ORDER

Your Total:
$0.00

we accept these
Credit Cards:

CLICK THE BUTTON BELOW TO
SUBMIT ORDER