EmailMeForm
Donate to FCHCC's Achieving the Dream Scholarship
Are you a member of FCHCC?
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Yes
No
Name
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First
Last
Your eMail Address: (must be a working eMail)
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Confirm eMail Address:
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Business Phone:
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Cell Phone:
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Business Name (if applicable):
Your Job Title:
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Select an option: (NOTE: a credit card processing fee will be added at checkout.)
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$10
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$400
$500
$1,000
$2,000
$2,500
Method of Payment:
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Credit Card
Check or Money Order
To avoid paying the credit card processing fee, checks and money orders are also accepted. Make all checks/money orders payable to FCHCC/CDI and mail to:
FCHCC Community Development, Inc.
P.O. Box 57972
Jacksonville, FL 32241
If paying by credit card, you will be redirected to our payment system after you submit this form.
Total
$0.00
