Youth-Reach Gulf Coast

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Your memorial gift to Mike Martin’s Change A Life Foundation will enable Youth-Reach Gulf Coast to continue to restore the lost futures of troubled young men. Melanie and the entire Martin family are deeply grateful.

Youth-Reach Gulf Coast General Donations

Donation Amount

Choose A Frequency

Recurring Frequency:

I would like to add 3% to my total to help offset credit/debit card processing costs.

Payer Information

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Last Name: *

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This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

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Telephone:

Email: *

A receipt will be emailed to this address.

Additional Donor Information

E-Notes:

I'd like to receive E-Notes.

The Resource:

I’d like to receive The Resource newsletter.

Volunteer:

I’d like to volunteer – contact me about Youth-Reach Gulf Coast events.

Comments or Questions:

Your Payment Information

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Card Number: *

Security Code: *

Expiration Date: *