Print Page            Close Page

DONATION FORM
Please print this form and mail it to the following address with your donation to:

E. Wesley Program
c/o Tacoma Urban League
2550 South Yakima Avenue
Tacoma, WA 98405

Yes! I am ready to join other caring individuals in our community and make a difference by recognizing and honoring our African-American scholars for their achievement.

Select Category:
$1,500 and above
Grand Elder $1,000 to $1,200
Elder $500 to $800
Messenger $365 - $495
Story Teller $125 - $350

Method of Payment:

___Enclosed is my check for $_____

___Please charge my: ___Visa ___MasterCard

_________________________________    ___/____/__
Credit Card #                                                  Exp. Date

___________________________________________________________
Signature

____I prefer to pay in installments.

  • First payment enclosed today of $___________
  • Second payment will be sent on ___/____/____

    • __________________________________________
    Name
    __________________________________________
    Address
    ______________________    _______      ___________
    City                                            State                  Zip

    Please make all checks/money orders payable to: E. Wesley Program