To support a runner or walker participating in the Running & Walking Well 5K, please submit the information below. After you submit your information you will be taken to a page in which you can use PayPal or a credit/debit card to support a runner or walker.  Please enter the participants first and last name in the note field in PayPal.


Your First Name
Your Last Name
Your Email
Your Address
City, State & Zip   
Your Phone
Who are you supporting?
Runner or Walker   Runner   Walker
Amount 
Comments