Processing.. Processing.. United in Wellness VIRTUAL Cancer Walk and Trick or Treat Trot 5K cancel Donation for United in Wellness VIRTUAL Cancer Walk and Trick or Treat Trot 5K $25.00 - Bronze Supporter $50.00 - Silver Supporter $100.00 - Gold Supporter $250.00 - Platinum Supporter $500.00 - Diamond Supporter Other: Personal Message: The above message will be displayed on United in Wellness VIRTUAL Cancer Walk and Trick or Treat Trot 5K's page. * Display my name on United in Wellness VIRTUAL Cancer Walk and Trick or Treat Trot 5K's page as: List my donation as "anonymous". * Your Information *First Name * Middle Name or Initial *Last Name * *Address 1 * Address 2 *City * *State Outside US and Canada ALABAMA ALASKA ALBERTA AMERICAN SAMOA ARIZONA ARKANSAS ARMED FORCES AMERICAS ARMED FORCES EUROPE ARMED FORCES PACIFIC BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FEDERATED STATES OF MICRONESIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS NORTHWEST TERRITORIES NOVA SCOTIA NUNAVUT OHIO OKLAHOMA ONTARIO OREGON PALAU PENNSYLVANIA PRINCE EDWARD ISLAND PUERTO RICO QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON TERRITORY * *Zip/Postal Code * *Country -- choose country -- UNITED STATES CANADA ALBANIA ALGERIA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BARBADOS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA-HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAPE VERDE CAYMAN ISLANDS CHAD CHILE CHINA COLOMBIA COMOROS DEMOCRATIC REPUBLIC OF CONGO CONGO COOK ISLANDS COSTA RICA CROATIA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ERITERIA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA BISSAU GUYANA HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAOS LATVIA LESOTHO LIECHTENSTEIN LITHUANIA LUXEMBOURG MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIUE NORFOLK ISLAND NORWAY OMAN PALAU PANAMA PAPUA NEW GUINEA PERU PHILIPPINES PITCAIRN POLAND PORTUGAL QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SPAIN SRI LANKA SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM URUGUAY VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH WALLIS AND FUTUNA YEMEN ZAMBIA * *Email Address * * *Confirm Email Address * * * Personal Message The above message will be displayed on United in Wellness VIRTUAL Cancer Walk and Trick or Treat Trot 5K's page. Do not allow United in Wellness Cancer Walk and Trick or Treat Trot 5K to share my information. Check this box if you do not want the organization to share your personal info with other organizations. Gift Match By Employer? Check this box if your employer will match your donation. You will then be contacted with instructions on how to proceed. *Employer Name: * *Cover Processing Fee * * I understand that PledgeReg.com does not authorize refunds. All refunds must be authorized by the fundraising organization. * * Please check the box to indicate that you're not a robot. Processing... please wait. United in Wellness Cancer Walk and Trick or Treat Trot 5K is a 501(c)(3) nonprofit organization EIN #: 22-2674014