Business?
Are you a Business?
Business Name:
First Name
Last Name
Email
Phone
(input 1, area code and number, no spaces or dashes)
Street Address:
City
State
Zip
Sponsorship
Sponsorship Type:
Award Winner--$5000 +
Best Seller--$1500 - $4999
Classic--$500 - $1499
Other
Remain Anonymous?
Yes
No
Sponsorship Amount:
$
Will you add 3% to this purchase to help cover our online expenses and processing?
Yes
Total Due:
To Pay with PayPal, click the
Submit Order/Go to PayPal at the bottom of the screen
,
then click the PayPal button on the next screen.
You do not need a PayPal account to use PayPal, just click Pay Now with Debit or Credit Card.
If you are paying by
check or cash
, please check the
Pay at Literacy Connections Office
with Cash or Check
checkbox, then click
Submit Order/Go to PayPal
at the bottom of the screen.
Please check your email
Inbox
and
Spam
folder
for purchase confirmation and receipt.
Pay at Literacy Connections Office with Cash or Check
Please make checks payable to Literacy Connections of Wayne County, Inc.
Mail To:
106 South Center Street,
Goldsboro, NC 27530
Paypal_Hidden_Fields
Friends Membership Current?
Yes
No
Account ID
Contact ID