Yes, I want to support the Assumption College
Women's Swimming
team by making a gift to the Greyhound Pride Challenge
Please fill in all required fields with correct format
Gift:
*
$25
$35
$50
$100
Other $
First name
*
:
Last name
*
:
Class Year:
(E.g. 2005)
Address
*
:
Address line 2:
City
*
:
State
*
:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
----
Zip/Postal Code
*
:
Phone Number
*
:
Preferred Email
*
:
Please charge my credit card
*
:
Visa
Mastercard
Discover
American Express
First Name on Card
*
:
Last Name on Card
*
:
Card Number
*
:
Exp. Date
*
:
01
02
03
04
05
06
07
08
09
10
11
12
/
2019
2020
2021
2022
2023
2024
2025
Security code
*
:
Billing address
*
Same as primary address
Address:
Address line 2:
City:
State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
----
Zip:
Please tell us what prompted you to make your gift online
Email
Phone call from a student athlete