Marietta Police Athletic League Legacy Club
Thank you for completing our Annual Donor Membership Registration
Name
*
First Name
Last Name
Company (if applicable)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact No.
*
-
Area Code
Phone Number
E-mail
*
Association
*
Corporate Donor
Foundation Donor
Organizational Donor
Individual Donor
Donor Pledge Level:
*
Platinum Legacy Level - $25,000 or more per year
Gold Legacy Level - $10,000 - $24,999 per year
Silver Legacy Level - $5,000 - $9,999 per year
Bronze Legacy Level - $3,000 - $4,999 per year
Patron Level - $100 - $2,999 per year
Beginning next year, when would you like to be reminded of your Annual Donation Pledge?
*
January 15th
March 15th
May 15th
How would you like to be listed on the Legacy Club Membership List?
Name
Company Logo
Anonymous
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Are you interested in Volunteering with Marietta PAL? If yes, in what areas?
*
Speaking at Career Day events
Serving as a Mentor to PAL youth
Volunteering with PAL programs: sports, coaching, arts, tutoring, homework help, etc.
Volunteering at PAL events, Shamrock Shuffle, Tournaments, etc.
Not at this time
Donation Amount?
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USD
Description
Please send invoice
Email Invoice addressed to my Company
Email Invoice addressed to Me
Will mail check to Marietta PAL, 240 Lemon St, Marietta, GA 30060
No invoice needed
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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