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2. Youth Outreach Donation Form
   Donations applied to the City of Everett Youth Outreach program are used to fund programs, resources and efforts to reduce youth, gun and gang violence as well as foster positive relationships between youth, their families, law enforcement and our community.
4. Donor Information
6. First Name*
7. Last Name*
9. Address*
11. Address2
13. City
14. State/Providence
15. Zip Code*
17. Phone
19. Email Address
23. Acknowledgement Information
25. Please use the following name(s) in my acknowledgements:
27. I (we) wish to have our gift remain anonymous
31. Payment
33. I have read and agree to the City of Everett's Terms and Conditions*
35. Amount*
36. 
39. Taxable
40. Quantity
41. Shipping Cost
43. Your donation will be tax-deductible to the extent allowed by law. Please consult with your tax advisor or attorney for more information on how you may benefit by making a donation. Tax ID: 916001248. Please print a receipt for your records.
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44. Calculate Totals Proceed to Checkout

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