YOU’VE BEEN ROLLED

Thanks for participating in this Keep West Monroe Beautiful Fundraiser!

Thanks for participating in the Keep West Monroe Beautiful You’ve Been Rolled fundraiser! For just $25, you can have someone from Keep West Monroe Beautiful deliver a tire to an unsuspecting recipient! This Love the Boot Week fundraiser aims to raise awareness for Keep West Monroe Beautiful and partner organizations who work tirelessly to keep our community clean, green, and litter free!

Please note: deliveries are limited to West Monroe and West Ouachita Parish addresses.

Your Name(Required)

First Last

Your Phone(Required)

Your Email(Required)

Recipient's Name(Required)

First Last

Recipient's Address(Required)

Street Address City State ZIP Code

Delivery Date(Required)

Tire Roll

Total

Credit or Debit Card(Required)

Cardholder Name

Card Details