Champy's Champions Monthly Donation

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Thank you for becoming a Champy's Champion! (Please note that the minimum monthly donation for becoming a Champy's Champion is $15. You will be charged the same amount you choose here every month on the same day as your initial donation.)

Suggested Donation Amounts:

$15

$20

$25

$40

$50

$100

Other Amount

$15

$20

$25

$40

$50

$100

Other Amount

First Name: Last Name: Mobile Phone: Email: Address: City: State: Zip: - Champy's Email Opt-In

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Champy's GIft Option

This Champy's Champion membership is a gift.

Gift recipient's full name Gift recipient's email If not gifting a continuous membership, please enter total number of months. Please indicate the length of the gift membership. We can send a personal message to your Champy's Champions gift recipient. Please enter it below. General Comments (optional):

To create a FieldHaven account, please create a login name and password at least eight characters long containing at least one number.

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Security

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