EmailMe Form - Super Bowl Fundraiser 2024

Your Name
First Last
Your Email
Phone number to contact you if you don't have email.
### - ### - ####
Number of Squares you would like.
Do you have a preference for which square(s) you would like?
Yes - see below
No
How would you like to pay for your square(s)?
On the Marin Cursillo website. Go to the Donate drop down and choose Fundraiser
Pay by Check. - See below for instructions
Please send your Check made out to MARIN CURSILLO and mail to

MARIN CURSILLO
PO BOX 4101
SAN RAFAEL, CA. 94913
Please indicate the location on the grid where you would like your square(s).
Please provide the row number first and then the column number, counting from the top left corner of the grid, where you would like your square. If you would like the top left square on the grid, it would be 1,1. The one to the right of that square would be 1,2, etc. You can do this for each square you purchase.