Where

Eisenhower Park

1899 Hempstead Turnpike
Parking Field 2 (By the Field House)
East Meadow, NY 11554-1043

Event Address Map
Driving Directions

Donations Only for CCMAC's 14th Annual Miles for Melanoma, Steps to Stop Skin Cancer 5k Run / Walk

To make a DONATION ONLY complete form below, and make sure to check the name of the person, team or organization you are supporting. CCMAC's Annual 5K Run/Walk raises awareness regarding the dangers of Skin Cancer / Melanoma. It is an event where families, and friends Honor, Acknowledge and Remember loved ones touched by Skin Cancer/ Melanoma.

* Required information

Personal Information

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TEAMS

  • Make sure to check the Name of the Person, Team or Organization you are Donating In Honor of, or In Memory of, or in Support of. THANK YOU!

If the Name or Team Does Not Appear Above

  • Please write the name of the person, team or organization you are donating In Honor of, In Memory of, or in Support of. Using the contact information you provide CCMAC will notify the person, family, or organization of your donation. If you DO NOT want CCMAC to make a notification leave contact information lines blank.

  • SELECT ONE:

DONATIONS

Item Qty. Max Limit Price

$25.00 Donation

Donation

1 $25.00 each

$50.00 Donation

1 $50.00 each

$75.00 Donation

1 $75.00 each

$100.00 Donation

1 $100.00 each

$200.00 Donation

1 $200.00 each

$250.00 Donation

1 $250.00 each

$300.00 Donation

1 $300.00 each

$400.00 Donation

1 $400.00 each

$500.00 Donation

1 $500.00 each

$1000.00 Donation

1 $1,000.00 each

$1500.00 Donation

1000 $1,500.00 each

$2000.00 Donation

999 $2,000.00 each

$2500.00 Donation

1000 $2,500.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Colette Coyne Melanoma Awareness Campaign
    106 Campbell Street
    New Hyde Park, NY 11040

Payment Summary



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