To mail your donation for the fundraiser, please follow the three steps below. It makes the process a lot easier.

(1) Complete the form below with all the pertinent information.

(2) Print out this page and enclose it with a certified check or money order (payable to Daaim Shabazz, The Chess Drum) with desired amount  to the address below:

Daaim Shabazz, The Chess Drum, Inc.
P.O. Box 7663
Tallahassee, FL 32314-7663, USA

(3) Hit the "Submit" button below the form to send the electronic order form via e-mail. Your form will be sent to webmaster@thechessdrum.net and will be cross-referenced with the donation which you will send via regular mail.

Title:

Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

e-Mail:

Donation Amount:

Medina Parilla

Darrian Robinson

Both

Thank you for your donation!


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