Donations

Donation Information

If you would like to make a special contribution to the Tribute Triathlon, please complete this form and send your tax deductible donation to the address below. 

Donovan Bock
WCMMC President
2164 Moreland Road
Sedalia, MO 65301

Thank you for your contribution!

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Contact Phone:
Donation Amount:
Do you  want a receipt mailed for a
tax deduction, yes or no?
My contribution is to be applied to:
1) Cardiac Wellness
2) E.W. Thompson State School
3) Henry County Health Center, Bldg, Inc

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