In Memory of Chuck Mires Chuck Mires Obituary Please fill out the following donation form. You may pay by PayPal or by credit card for a secure and safe transaction. TRIBUTE(Required) In memory of Chuck Mires FUND(Required) Kimberly Mires Athletic & Music Scholarship Roscommon Rotary Club General Fund How much would you like to donate?(Required) One time or recurring?(Required) One time donation Recurring donation Recurring Cycle(Required) One time per month Quarterly Annually Would you like to remain anonymous?(Required) Yes No YOUR CONTACT INFORMATIONYour Name(Required) First Last Your Email Address(Required) Your Phone Number(Required)Your Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Leave a commentSubscribe To See What Giving Can Do Sign me up! PAYMENT DETAILSSelect your preferred payment method from the Payment Method dropdown. For one-time donations you may pay with Credit Card or PayPal. For recurring donations, you can only pay with PayPal. Payment Method(Required)PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
