SPONSOR A YOUTH

The Diamond Shop is proud to present the prize for SPONSOR A YOUTH. This year's prize is a shopping spree at the Diamond Shop for up to $3,500! For every $50 contribution you make towards our SPONSOR A YOUTH Live Auction Item, you will receive one chance to win.

Please fill out the form information below ( * = required fields)

* First Name

* Last Name

* Address

Address 2

* City

State

* Zip Code

Comments

* First Name on Card

* Last Name on Card

* Billing Address

* Billing City

* Billing State

* Billing Zip

* Card Type

* Credit Card Number

* Expiration Date

* CCV

* Amount: (ex: 10000.00)
(minimum: $50.00)

* Email to receive receipt:

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