Team Name

URBAN HABITAT – DIGGING FOR A CURE

Urban Habitat

Team Name

To join URBAN HABITAT – DIGGING FOR A CURE, please fill out the form below:

Name(Required)

First Last

Team(Required)

Email(Required)

Phone(Required)

#PEPP Memorial Ribbon

Price: $10.00

#PEPP Lawn Ribbon

Price: $25.00

#PEPP Large Foam Core Ribbon

Price: $45.00

#PEPP Large Window Cling Ribbon Installed

Price: $65.00

Registration Includes T-Shirt - Please select your size below:(Required)

Price:

T-Shirt Size(Required)

Would you like to purchase additional T-shirts?(Required)

Yes

Additional T-Shirt

Price:

Quantity(Required)

Please enter a number from 1 to 9.

Additional T-Shirt Size(Required)

Please list additional sizes separated by a comma (if applicable). Size options: XS, S, M, L, XL, XXL, XXXL

Would you like to make a donation?(Required)

Yes

Donation Amount(Required)

Please fill out the amount you would like to donate to Desert Cancer Foundation.

Total

Coupon

Credit Card