Dylan & Jonah Kornblum

Trike, Bike, Scoot,
Skate, Stroll, Walk, Jog

Register a Team
on Trike-A-Thon

Follow the Campaign
on Facebook

Campaign Goal $0.00

Donated $0.00

Recent Donors

Name	Effective Amount

Troy Seidman	$54.00
Elisa Cogan	$54.00
Ellen & Warren Grossman	$50.00
Robin Gofine	$18.00
Charlene and George Arje	$54.00
Sema and Shelly Mecklinger	$100.00
Lori Ulmer	$100.00
Peter & Carol Seidman	$100.00
Alan & Shayndee Kornblum	$100.00
Leah, Jer, Mia and Max	$54.00
Joy and Dan Kucer	$100.00
Ellen and Allen	$54.00
Fern & Pizzaman	$54.00
Vivian Risi	$100.00

Team Message

Dylan rides for his 2nd year and is excited that Jonah will be joining him for his innagural ride!

Team Members

Sarena Kornblum

DONOR INFORMATION

First name*

Last name*

List donor as (optional)

Address*

City*

Country*

State/Province*

Zip/Postal*

Phone*

Email*

Donation Information

DONATION AMOUNT

$36.00
$54.00
$100.00
$180.00
$360.00
$540.00
$1,000.00
$1,800.00
Other amount $

Payment method *

Credit Card
Credit card
Paypal
Will mail a check / bank wire

Card type*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Bank ABA Routing Number*

Bank Account Number*

Bank Account Type*

Bank Name*

Account Holder Name*

Comment

$36.00
$54.00
$100.00
$180.00
$360.00
$540.00
$1,000.00
$1,800.00
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$784.00 [ $28 x 28 months – Paid in advance, a total of ]
$1,568.00 [ $56 x 28 months – Paid in advance, a total of ]
$2,352.00 [ $84 x 28 months – Paid in advance, a total of ]
$3,136.00 [ $112 x 28 months – Paid in advance, a total of ]
$3,920.00 [ $140 x 28 months – Paid in advance, a total of ]
$

$36.00 [ 1 dollar Trying text that is a lot longer to see the design ]
$54.00 [ 2 dollars ]
$100.00 [ 3 dollars ]
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$36.00
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$36.00
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$36.00
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$36.00
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$36.00
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$36.00
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$54.00
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$54.00
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$36.00
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$54.00
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$36.00
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$54.00
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$72.00
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$72.00
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$72.00
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$72.00
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$36.00
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$72.00
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$36.00
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$72.00
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$36.00
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$54.00
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$36.00
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$54.00
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$54.00
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$54.00
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$54.00
$36.00
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$36.00
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$54.00
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$36.00
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$36.00
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$54.00
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