2013 Venus de Miles Colorado

Français

Home

Please donate now.

Thank you for your generous support.

Please provide your contact and payment information below. Your contact information is required to generate an electronic tax receipt which will be sent to the email address that you provide. For more information, email venus@greenhousescholars.org.

* denotes required information

Make a personal donation:
Make your donation on behalf of an organization:

* First Name:
* Last Name:

Contact Information


	Home Work

Enter address manually
* Address:

* City/Town:
* Country:
* * * State/Province:
* Zip/Postal Code:
* Phone Number:	( ) Ext.
Cell Phone Number:	( )
* Email Address:

I give Greenhouse Scholars permission to contact me by email
I give Greenhouse Scholars permission to contact me by mail (post)

Survey Questions

* Gender:

Female

Male (Sorry guys, this is an all-women's ride, but we'd love to have you volunteer!)

* Birth date (mm/dd/yyyy) Solely for record purposes and will not be disclosed to anyone.

* Please select your ride distance. You aren't tied in to this choice and can change your mind since all courses are the same price.

33 Miles

51 miles

67 Miles

100 Miles

Employer's Name:

* Please select your t-shirt style: (Fitted or Unisex/Relaxed Fit options available)

* Please select your requested t-shirt size and style, and remember - for the fitted version, be sure to size up.

* Packet pick-up will be held from Friday, September 20th thru Monday September 23rd. Keep in mind that you'll need to fundraise your $75 by September 13th in order to pick your packet up in advance of the ride:

* Please select your food preference below. We'll have food trucks at the event; your food preference will be used for their planning purposes:

Carnivore

Vegetarian

Gluten-Free

Vegan

No Thanks

Would you like to buy extra lunch tickets? Extra Lunch Tickets are $10.00 each. Quantity:

* Want key cycling tips, inspiration and chances to win gear? Sign up for the monthly Trek Women News - trust us, you'll want to hear what they have to say.

Yes

* Emergency Contact Name:

* Emergency Contact Phone Number:

How did you hear about Venus de Miles?

What is your annual household income? This is helpful for our research and is strictly confidential. We take your privacy very seriously.

* Would you like to receive a one-month complimentary training plan for Venus de Miles from FasCat Coaching? It will be accessible via a one-month complimentary Training Peaks website. They are offering beginner, intermediate and advanced training plans are among the best in the business! After the first month, they will be offering a great Venus discount on their coaching packages, so you can take it to the next level!

Yes

* How did you hear about Venus de Miles? If it was from a friend that is already signed up to ride, please list their name so we know who to thank.

* On September 29th, please sign me up for (check all that apply):

Sisterhood for Neighborhoods

Unity Rides

Venus Appreciation Gathering

Payment Information

* * Donation Amount:

* Processing Date:

* Number of Installments:

installments

* Credit Card Type:

* Credit Card Number:

* Cardholder's Name:

* Credit Card Expiration:

Security Check

We have implemented an extra step in order to prevent Credit Card fraud. Unfortunately, some people use automated programs to test whether fraudulently obtained credit cards are valid. To counteract this practice we ask that you answer the question below.

Cookie Policy