For Individual Contributions   Print this form and mail bottom with contribution All contributors will receive: •        A Mentor Center goodie bag with booklets, music, and T-shirt. •        Name listed on the website •        Name listed in the bike tour of Florida program •        Name listed on a plaque permanently located in the primary center location •        Subscription to the Mentor Center quarterly newsletter •        Priority in making referrals to the center •        Most of all, the satisfaction of participating in a pioneering project for persons with disabilities Ways to contribute: A one time gift of $1,300 12 payments of $109 each* 24 payments of $55* A one time gift of any amount *For those contributing over time, self addressed, stamped envelopes will be provided to mail each payment Send the form below and Contributions made payable to: The Mentor Center 3375-E1 Capital Circle NE Tallahassee, FL. 32308 Name ___________________________   Email____________________________ Address ___________________________ City __________ St ___ Zip ______ Phone _____________  Amount of contribution _________ Check if _____ 12 Payments  _____  24 Payments Check if you wish to remain anonymous ________ Back to Previous Page