Become a TRAILBLAZER

First Name

Last Name

Organization/Company Name (if applicable)

Mailing Address

City

State

Zip

Phone

Email

I/we want to be a Trailblazer at the following level

Investor ($25,000)
Patron ($10,000)
Partner ($5,000)
Friend ($2,500)
Contributor ($1,500)
Young Professional ($500)

I/we will send a check

Immediately
By the end of the month
By the end of the quarter

Send me a pledge reminder

Yes

Please contact me about

Volunteer opportunities
Hosting a fundraising event or reception

Please subscribe me to your e-newsletter

Yes

Please mail your check to

Groundwork Jacksonville

P.O. Box 13295

Jacksonville, FL 32206

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