Donate Donation Donation If you prefer to donate by mail, please click here to print a copy of this form. You may send the completed form (or just a note) with your payment to payments@centralcityalliance.org, or send by mail to: Central City Alliance C/O Barry Curtis 1525 NE 5th Avenue Fort Lauderdale,FL 33304 Make checks out to Central City Alliance Name * First Last * Last Organization or Company Name Phone * Email * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Donation Purpose * Holiday Decorations Holiday Trip and Toy Drive Other Specify Purpose of Donation * Donation Amount * Comments Visual Code Enter any additional comments If you are human, leave this field blank. Submit
