ThePapCorps

Papanicolaou Corps for Cancer Research Logo

Registration Form

Only one registration per transaction. If you'd like to register two people, please process two separate transactions.

Registration Options

Select from the two registration options below by clicking on the plus (+). Then select your shirt size.

Walker/Sitter with a $30 minimum contribution

$30 • 1 Item Limit

Pap Corps Shirt Included

Walker/Sitter ($30) - T-Shirt Size (adult sizes)

Walker/Sitter with a $55 minimum contribution

$55

Pap Corps Shirt and hat Included

Walker/Sitter ($55) - T-Shirt Size (Adult Sizes)

To properly complete your registration, you MUST check the two check boxes below:

I'd like to sign up! If you choose this option, you will be taken to customize your page.

Apply funds to myself If you choose this option, you will be taken to customize your page, and your total will be applied there.

Commemorative Markers

If you would like to commemorate a loved one in memory of or in honor of your minimum donation is $5.00 per person. Everyone commemorated will be listed on recognition boards that will be completed and on display the morning of the event.

Commemorative Marker

$5 • 4 Item Limit

Marker 1 - Donor Name

Marker 1 - Person Honored

Marker 1 - Type (select one)

Marker 2 - Donor Name

Marker 2 - Person Honored

Marker 2 - Type (select one)

Marker 3 - Donor Name

Marker 3 - Person Honored

Marker 3 - Type (select one)

Marker 4 - Donor Name

Marker 4 - Person Honored

Marker 4 - Type (select one)

Contact information

First Name

Last Name

Mobile Number

Address

City

State

Zip

How would you like to pay?

This is a secure 256-bit SSL encrypted payment

Card Number

CVV

I would like to cover the payment processing fee of 3.5%

Donor hereby approves the payment of the donation and/or purchase to Papanicolaou Corps for Cancer Research and in the amount set forth herein.

If you'd like to make an additional donation, please enter the amount in the box below.

Optional Additional Donation

Registration Options

Commemorative Markers

Contact information

How would you like to pay?

Total Donation amount