THE JOURNEY CONTINUES... 

CLUB DONATION FORM

Thank you for your interest in joining us to help African-American youth fully pursue their dreams and aspirations!  Becoming a $200 for 200+ Club Donor starts by completing and submitting the information below.

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Donation

* Mandatory fields
*First name
*Last name
*e-Mail
e-Mail2
Company If Applicable
*Preferred Telephone Number
Cell Phone
*Mailing Address (City/ST/ZIP)
Testimonial
We reserve the right to edit your submission in whole or in part without changing the spirit of your comment.
*Amount ($USD)
Comment
If you would like your contribution to be directed to a specific program, please indicate that in the comment section above.
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