First Name Last Name Address City State - - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code Email How did you hear about the donation form? --Select one-- NGPC Website NGPC Facebook Page NGPC Member (no name) Sam Aboah-President Stephanie Arthur- 1st Vice President Monica Monyo-Tetteh- 2nd Vice President Rita Mensah-Secretary General Sam Kwakyeh- Treasurer PR Committee Sandra Appiah-PR Committee Chair Rita Kusi- PR Committee Chair Culture Committee Eunice Poku-Culture Committee Chair Catherine Cudjo-Culture Committee Chair Entertainment Committee Hashim Haruna-Entertainment Committee Chair N/A Enter Amount To Donate: * Select one: $10 $20 $30 $40 $50 $60 $70 $80 $90 Please note that the form will not be processed until payment has been made. Please mail your payments to NGPC P.O. Box 1304; Bronx, NY 10462. If you require further assistance contact us at 1877-310-1373.