Community Support - Celebrating 15 Years of Success
Please fill this online form and push the "Submit and Pay Online" button to pay online with a credit card through our secure payment system.
Please provide a phone number in case we need to contact you. A receipt for this transaction will be sent by email. Your contact information will not be given to any third party.
* = Required Field
Name to be recognized (in the program):
[Call]
$100,000 - Success Sponsor
$25,000 - Journey Sponsor
$10,000 - Hope Sponsor
$7,500 - Faith Sponsor
$5,000 - Empowerment Sponsor
$2,500 - Opportunity Sponsor
$1,000 – Inspiration Sponsor
$2,000 – Making a Difference Table Purchase: # of Tables at $2,000 each
$250 – Making a Difference Ticket Purchase: # of Tickets at $250 each
$250 – Donated tickets to Strive graduates: # of Tickets at $250 each
Other amount: to support Second Chance programs and services.
Privacy statement: the information collected on this form will not be shared with any third party.
For questions, contact us at secondchance@secondchanceprogram.org.