The 100 Ride 2025
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Sponsor

You are sponsoring Team Barry Adler and Zacharia Adler

Sponsor Amount:   $ (e.g. 180.00)
Personal Information
First Name: *
Last Name: *
Company Name:
Address: *
City: *
State: *
Zip Code: *
Country: *
Phone Number: *
Cell Phone:
Email Address: *
Payment Details
Card Type: *
Card Number: *
Exp. Month: *
Exp. Year: *
Security Code: *
Additional Comments:
 Please mail a receipt to the address above (in addition to the receipt I will receive via email).
Personalize your message (optional)
Please add the following comment to the ticker on Team Barry Adler and Zacharia Adler 's personal page.  (eg: In honor of xxx)
  Please display me as anonymous on the ticker at Team Barry Adler and Zacharia Adler 's personal page.
Only enter this field if you were told to do so by a staff member.


All donations charges will be made via The 100 Ride.
The 100 Ride is a non-profit 501c3 organization.
The 100 Ride
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