MINORITY PEACE CORPS ASSOCIATION

Community Teacher’s Award Online Fundraiser

 

Please help us make a difference in diverse communities by honoring exemplarily educators in minority and diverse communities.  You can help us by making a donation today.

 

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YES!  I would like to join the Community Teacher’s Award Benefit Committee at the following level (circle one):

 

·        $1,000  Founder’s Circle

 

·        $800  Benefactor

 

·        $400  Patron

 

·        $200  Sustainer

 

·        $100  Friend

 

·        $50  Benefit Committee Supporter

 

·        No, I will not be able to serve on the Benefit Committee this year, but would like to make a contribution of $_____________in honor of diversity among educators.

 

Name:_____________________________________________

            (as you wish it to appear in the award ceremony’s evening program)

 

Address:___________________________________________

 

Daytime Phone:_____________________________________

 

E-mail Address:_____________________________________

 

_____I have enclosed a check payable to the Minority Peace Corps Association.

 

_____I have downloaded my completed copy of MPCA’s Donation page at www.minoritypca.org, which contains the confirmation of my secure credit card transaction.  I have attached it to this response form and will mail it to the MPCA address below.

 

Please mail this form back to the MPCA no later than Friday, June 4, 2004.

 

Community Teacher’s Award

Minority Peace Corps Association

Village Station

P.O. Box 244

New York, NY 10014

 

Thank you for your support!  All proceeds will go directly to the Minority Peace Corps Association to help cover the overhead costs associated with this event and our activities.  For additional information, visit our website at www.minoritypca.org or call Debbie Beulah Lewis at (845) 401-4219.

 

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