'Black Men Read' Virtual Car Wash Donation Check Pledge Form

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Please fill out the following information regarding your pledged donation to the AAYI Kappa League 'Black Men Read' Benefit Fundraiser. Your pledge will be added to the online donation page to reflect your contribution.

How to Send Donation by Check

Donor First Name *

Donor Last Name *

Donor Street Address *

Donor City *

Donor State *

Donor Zip Code *

Donation Pledge Amount *

$25

$50

$100

$250

$500

Other:

Choose a Kappa League Team (if desired) *

Team 1 for BMR

Team 2 for BMR

Team 3 for BMR

Team 4 for BMR

Team 5 for BMR

Team 6 for BMR

General Donation to BMR

Choose a Car Wash Location for your Gift Certificate *

Zippy Car Wash in Ann Arbor on Ellsworth

Canton City Car Wash on Canton City Road

I won't need a Certificate

Thank you for your donation pledge. Please forward by November 30, 2020

MAKE CHECK TO:
Ann Arbor Kappa Foundation
Memo: BMR Car Wash

SEND CHECK TO:
BMR Car Wash Event
c/o Hollis Jordan
2867 Quail Hollow Ct.
Ann Arbor, MI 48108

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