The 2023 Clara Mohammed School at Historical Masjid Malcolm Shabazz Annual Education Award Banquet
Thursday, February 9th, 2023, 7pm to 10pm
Malcolm Shabazz Culture Center
119 Lenox Ave, Harlem, NY

Banquet/Ticket Donations:

Diamond Donors- $1,000.00 or more

Gold Donors- $500.00 or more

Silver Donors- $300.00 or more

Bronze Donors- $125.00 or more

After ticket payment is processed, you will receive an email that will contain additional information about the event, including:
-  The February 10th ZOOM link to the CMS Virtual Banquet site
-  The information you will need to participate in the Virtual Silent Auction

Sign in to Google to save your progress. Learn more
Email *
Company Name *
Contact Name *
Business Address (Street, City, State, Zip) *
Contact Phone Number *
Please indicate the level and amount of tickets for donation
1 ticket
2 tickets
3 tickets
4 tickets
5 tickets
More than 5 tickets
Diamond Donors $1,000.00 or more
Gold Donors $500 or more
Silver Donors $300 or more
Bronze Donors $125 or more
Please enter total amount due and proceed to Payment Instructions below: *
Note: The submittal of this form is for registration purposes only. You must complete payment instructions in order to be fully registered and receive the Virtual Banquet and Auction link.
Payment Instructions
Please make your online payment at https://www.paypal.com/donate?hosted_button_id=DX2MCEGYQSMVY. Indicate "CMS Banquet Ticket Donation" in the Memo section.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms