Ebony & Ivory Gala

* First Name * Last Name * Address * City * State * Zip Code * Phone * Email Address Tickets @ $100 each Quantity I am unable to attend, but please accept my donation of $ Sponsorship Level:   Platinum ($25,000) Bronze ($5,000) Gold ($15,000) Pewter ($2,500) Silver ($10,000) Table Sponsor ($1,500) Comments:    Payment Total: $ Make Payment By: Credit Card Check or Money Order By Mail PayPal

Please make checks payable to:
The Women of Color Cultural Foundation, Inc.
P. O. Box 43632
Jacksonville, FL 32203

The Women of Color Cultural Foundation, Inc. is a non-profit 501(c)3 organization.  A copy of the official registration and financial information may be obtained from the State of Florida Division of Consumer Services by calling toll free 800.435.7352.  Registration does not imply endorsement, approval or recommendation by the state.

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