Donation Form

Adopt a Class for a $1,500.00 donation, to receive the class updates!

For Adopt a Program, please dedicate your donation to Drumline or Step team. Your contribution is helpful, welcomed, and appreciated.

Thank you for your support!

Donation Information

Amount

$1500.00

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

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Home Phone

Cell Phone

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Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Achievement Centers for Children & Families Foundation and I will donate $0.00.No. I will donate $0.00 and Achievement Centers for Children & Families Foundation will cover the processing costs.

Credit Card Information

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Card Account Number

Expiration Date

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Billing Address

Same As Above

Address

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Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Solicitation Notice

COMMUNITY CHILD CARE CENTER OF DELRAY BEACH FOUNDATION INC. DBA ACHIEVEMENT CENTERS FOR CHILDREN & FAMILIES FOUNDATION IS A NOT-FOR-PROFIT 501C(3) ORGANIZATION. ALL CONTRIBUTIONS ARE TAX EXEMPT TO THE FULLEST EXTENT THE LAW ALLOWS. A COPY OF THE OFFICIAL FL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED BY CALLING (800) 435-7352 OR ONLINE AT WWW.FLORIDACONSUMERHELP.COM. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATES. STATE REGISTRATION #CH-2108