EmailMe Form - 2021-2022 Salute to our Young Heroes

Please enter participants name if applicable

First Last

Please enter your name *

First Last

DIAMOND FORTITUDE ENDOWMENT - Must enter donation below

$1000+

Enter Donation Amount

$ Dollars . Cents

FORTITUDE ENDOWMENT - Must enter donation below

$500-$950

Enter Donation Amount

$ Dollars . Cents

DISTINGUISHED CONTRIBUTOR - Must enter donation below

$150-$500

Enter Donation Amount

$ Dollars . Cents

ELITE CONTRIBUTOR OR
IN MEMORY OF (Please enter name and any specifics below)

$125

Please enter in memory of name

If there is printed materials, please indicate how you would like your in memory of stated (i.e. a loving mother and grandmother)

Please indicate if you have any specifications (i.e. attending an HBCU, majoring in education, etc.)

CONTRIBUTOR

$100

GRAND SPONSOR

$75

SPONSOR

$50

GRAND PATRON

$25

PATRON

$20 or Less

If you are not donating any of the amounts above, enter donation amount here.

$ Dollars . Cents

Contributors Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Contributors Email

Contributors Phone Number

### - ### - ####

Choose below for Mail In or Zelle Payment Option

Mail In or Zelle-No extra fee

Choose below for PayPal Payment option

PayPal - You will be redirected to PayPal

Note: Paypal payment fees will be deducted from donations.

Payment options:

PLEASE MAKE YOUR TAX DEDUCTIBLE CONTRIBUTION CHECKS PAYABLE TO:
DELTA FORTITUDE FOUNDATION
(DFF is a 501c3 organization)
PO BOX 431194 Pontiac, MI 48343

Zelle payment, send to: dffpontiac@gmail.com

PayPal payment, send to: dffpontiac@gmail.com

Assistance

Please contact us at saluteyoungheroes@pontiacdeltas.com