P.O. Box 57972
Jacksonville, FL 32241
Email > fchcc@comcast.net

JTA JAXPORT CROWLEY MARKS GREY HAVEN BRUNET GARCIA AEROSTAR HOLA HASKELL VISTAKON PUBLIX HOLLAND KNIGHT

Sponsor "Achieving the Dream"

I. Sponsor Information:

Contact Name:
 *required

Sponsor Name:
Address:  *required

City:  *required
State:  *required
Zip:  *required
Business Phone:  xxx-xxx-xxxx

Ext.
Email for Contact Person:  *required
II. Sponsorship Level

We agree to sponsor the “Achieving the Dream” Scholarship Breakfast at the following level: : *required

$5,000 Platinum1
$2,500 Sterling2
$1,000 Crystal3
$400 Table4
$25 Individual5


[ The following Credit Card/PayPal processing fee of 3.5% will be added:
1$175.00, 2$87.50,3$35.00, 4$14.00, 5$0.88 ]

Please select how you would like to pay: 
Credit Card & Paypal
              (a processing fee will be added)
Check

If paying by check, please submit
payment to:

FCHCC
PO Box 57972
Jacksonville, FL 32241

Please make check payable
to the FCHCC Community Development Fund.


Thank you for your support of "Achieving the Dream"