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Rev. Leon H. Sullivan Community Impact Center Campaign Donation
Amount
*
$5,000
$2,500
$1,000
$500
$250
$100
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone Number
*
Recognition
May we list your names(s) as a donor(s) in our publications?
*
Yes
No
How would you like your name(s) to appear?
*
This Gift is a Tribute
In Memory of
In Honor of
Please share the name of the person or people you are honoring
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