United Black Economies Donation Form

This form is for donating to United Black Economies online.

To donate offline, you may send a check to: Boston Ujima Project Inc., PO Box 300127, Jamaica Plain, MA 02130. Write "United Black Economies" in the memo.

Thank you for helping United Black Economies build wealth for Black communities!

First Name: Last Name:

Donation Information

Donation Amount: Why have you chosen to make an investment in the United Black Economies Campaign? List me as a donor:

Contact Information

Address: City: State: Zip: - Email: Phone:

Other Information

Company: Title:

Please complete the section below if you would like our fiscal sponsor, Center for Economic Democracy, to mail an acknowledgement to a different name and address from the one provided above.

Acknowledge To: Address: City: State: Zip Code: -

Please complete the section below if you would like to enroll Boston Ujima Project in your company's employee giving program.

Match Company Name: Company Contact: Address: City: State: Zip Code: - Phone: Email: Credit this donation to a Fundraiser:

Billing Information

Payment method: Credit Card
American Express

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Credit Card Details

Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Billing Zip Code: - Country:

Cardholder Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.