Rotary Club of Waxahachie

HOLIDAY FLAG PROGRAM SIGN-UP

For only $45.00 per year, you can promote your pride, spirit and love for our glorious country and the community in which we live. The Rotary Club of Waxahachie will place a 3x5 flag in celebration of the following holidays: Memorial Day (through Flag Day), Independence Day, Labor Day (through Patriots Day) and Veteran’s Day.

Instructions

Cash or Check :
See Old School Payment Process in RIGHT column
Credit Card :
Complete the form and click "Pay by Credit Card"

New Flag Subscriber

Renewal Flag Subscriber

Would you like to add a 1 time additional donation?

$20 $40 $60 $80 $100 Other Not Now

Complete the Registration Form

First Name *

Last Name *

Home Address * Help

Location

Email *

Phone *

Flag Requested (For a single location)

Subscription Year

Starts from Holiday
Veterans Day

Flag Amount

Note: Please click on the Add To Cart button after any changes into Registration Form.

Product	Flags	Satrt Date	End Date	Price	Action
Donation Amount				$ 00.00
Total Payable Amount				$ 00.00

Credit Card Information

Card Number

Card CVV

YYYY

Zip Code

After submitting your payment you will receive an e-mail receipt to the address registered above.

Home Address

Unit No.

Help, Can't Verify Record

Would you like to add a 1 time additional donation?

$20 $40 $60 $80 $100 Other Not Now

Product	Subscription End	# of year	Address	Flags	Status	Cost	Actions

Total Billing Charge

$45.00 Includes a one time donation of $0.00

Credit Card Information

Card Number

Card CVV

YYYY

Zip Code

After submitting your payment you will receive an e-mail receipt to the address registered above.

______________

Attn: Melissa Ballard

P.O. Box 2920

Waxahachie, Texas 75168

OLD SCHOOL PAYMENT METHOD

Print Form and Mail it in

HOLIDAY FLAG PROGRAM SIGN-UP

Instructions

Would you like to add a 1 time additional donation?

Complete the Registration Form

Would you like to add a 1 time additional donation?

OLD SCHOOL PAYMENT METHOD

Rotary Club of Waxahachie

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