CONTRIBUTION FORM:

A
s a Volunteer: You can be a tutor which we ask that you can
work at least six hour a week. You can help with fund raising by
locating potential donors and helping the AYC with public
relation with the community.

As a Donor: Clothing, Electronics, Books, toys etc.

As a Community Partner: Your Company or Organization can pledge a
yearly donation to the  Program or staff can volunteer at the Center
during the year.

Giving Benefits:

1. The Donor will be listed on the AYC website as a community partner.
2. The Donor will be listed in grant proposals written after receiving your
donation.
3. Your Company will be recognized at its thank you banquet in the fall.
(Includes media coverage)
4. Your Company or Group will be recognized at any public event that the
AYC is involved.

We would like to help in the following manner  please circle:
       
As a Volunteer         As a Fund Raiser              As a Donor         
As a Community Partner                   Tutor

Other:
_______________________________________________________
      
_______________________________________________________

Name/Business: ___________________________________________


Address: ________________________________________________

City:____________________ State:_________ ZipCode:___________

Phone #(      ) ____________________ Fax #(     ) _________________

E-mail___________________  Cell Phone (      ) __________________

Business/ Patron Authorized
Signature______________________________________

Make checks or Money Orders payable to:

Augusta Youth Center, Inc.
302 Watkins Street  
Augusta, GA 30901.

Please print out form and send it to the address above.

The Augusta Youth Center, Inc. is a 501 (3)(C)non-profit organization,
and all donations are tax deductible.