Registration for Krispy Kreme

Thank you for donating to the CICD via our Krispy Kreme Fundraiser. Orders are due for March 4th, 2026 and Pick-Up date is March 11, 2026 at CICD - 80 Cedar Street, Hartford, CT. Please fill out the form below to purchase your Krispy Kreme Donuts:

First Name *

Last Name *

Address *

City *

State *

Zip *

Country *

Phone *

Email *

Participant's Name *

How Many Boxes ($15/dozen)?

Total Amount

Processing Fee

Gross Amount

Payment method

Credit Card

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*

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