Pledge Form - Black Ministerial Alliance of Greater Boston

Pledge Form

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Annual Pledge Form

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First Name *

Last Name *

Email Address *

Address Line 1 Address Line 2
City	State	Zip Code

	Area Code	Phone Number
Home Phone

Pledge Amount::
I would like to pledge to:	The BMA The Victory Generation After School Program The Boston Capacity Tank Services
Dates to debit account:
Website:

2326R Washington Street, Roxbury, MA 02119 (T)617.445.2737 (F)617.445.3557