University of Louisiana Monroe Alumni Association Logo
Donation Amount
$
Team Registration
Please Select Division
required
Select Option
Student Team
Community/Alumni Team
Team Name
required
255 character limit
0
/ 255
First Name & Last Name of All Team Members
required
255 character limit
0
/ 255
Captain First Name
required
Captain Last Name
required
Captain Mobile Number
required
Email
required
Zip
required
Decrease quantity for Student Team
Enter quantity for Student Team
Increase quantity for Student Team
Student Team
$30 • 1 Item Limit
Maximum of six (6) members per team Chili to be cooked from scratch on site (see rule sheet) You must supply your own equipment
Only 10 left
Decrease quantity for Community/Alumni Team
Enter quantity for Community/Alumni Team
Increase quantity for Community/Alumni Team
Community/Alumni Team
$60 • 1 Item Limit
Maximum of six (6) members per team Chili to be cooked from scratch on site (see rule sheet) You must supply your own equipment
Only 9 left
How many team members are alumni of the University of Louisiana Monroe?
Pay With
Credit Card
Pay With
Apple Pay
Pay With Google Pay
This is a secure 256-bit SSL encrypted payment
Routing Number
required
What is this?
Account Number
required
What is this?
Account Type
checking
savings
Name on Account
OK
Card Number
required
required
Select the expiration month for your credit card
MM
01
02
03
04
05
06
07
08
09
10
11
12
/
Select the expiration year for your credit card
YY
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
This field is required.
Expired Credit Card
Discover, Mastercard, Visa
3-Digit Card Verification Number
American Express
4-Digit Card Verification Number
OK
CVV
required
What is this?
Donor hereby approves the payment of the donation and/or purchase to University of Louisiana Monroe Alumni Association and in the amount set forth herein.
Google ReCaptcha Response
SUBMIT
Processing...