top of page
DSCF3556.jpg

Be a Presenting Sponsor

.

DSCF0160.JPG
DSCF0113.JPG

Payment options appear after this form.   
 

OR

Please press the "Submit" button on the form above before making payment.  

Mail check to ELW Drive for a Cure and copy of this form to:

​

Charlene Mixa

5048 Pinnacle Drive

Oldsmar, FL  34677

​

For additional information, call:

​

727.753.3111

​

​

Submit the form above and pay by credit card below:

​

​

​

​

​

Thank you
for your registration.  We will confirm by email.

  • Facebook Social Icon

 by the ELW Drive for a Cure.  All rights reserved.  2019

copyright.png

The ELW Drive for a Cure is a not-for-profit organization under the IRS Code 501(c)(3), whose Tax ID is 82-3828428.   All net proceeds from this event go to our designated beneficiaries.

 

FLORIDA REGISTRATION NUMBER CH60670:  ACOPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

bottom of page