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cash payments will be accepted the day of the event
checks can also be mailed to:
127 Sweetbriar Dr
Palmetto GA 30268
PAYABLE TO:
Rev Lionel Gantt/SCLC Stop the Violence and Incarceration
PLEASE PRINT FORM
Contact Name:___________________________________________
Church/Organization/Business:
__________________________________________________
Mailing Address: __________________________________________________
Phone: __________________
E-mail: ________________________________
Vendor ($25)____
Supporter ($25)____
Freedom Fighter ($50-$100)____
Freedom Fighter Sponsor ($200-$300)____
Silver Freedom Fighter ($500 or above)____
Gold Freedom Fighter ($1,000 or above)____
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