100 Shares of Wizard Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Wizard Share SelectionChoose from the options below, or enter your own price for donations over $3000Please Select a Share Option $1000 (1 Share) $2000 (2 Shares) $3000 (3 Shares) Other (more than 3 Shares) Please Input Your Donation Amount in Dollars Example: 4000.00Total Credit Card