Breakfast Nutrition Program Donation Form

• With the cooperation of Grace, Kennedy and Dairy Industries, we can provide a daily healthy breakfast for each child for only US $6.00 a month or US $60.00 for the entire 10-month school year.

The program options are:

Option A: Sponsor breakfast for one child for one month. Cost: $6.00

Option B: Sponsor breakfast for several children for one month. Cost: $6.00 x Number of children you sponsor

Option C: Sponsor breakfast for one child for whole school year. Cost: $60.00

Option D: Sponsor breakfast for several children for whole school year. Cost: $60.00 x Number of children you sponsor

Option E: Be a corporate sponsor: Provide breakfast for 10 children for 10 months. Cost: $600.00

Option F: Be a daily breakfast program champion. Volunteer to:

1. Recruit friends and colleagues in the U.S. to become donors to the program.
2. Recruit friends and colleagues in Jamaica to become donors to the program.
3. Undertake marketing initiatives within your organization to win corporate sponsorship.
4. Try to interest teachers and children in your local school to become partners in raising funds for the Daily Breakfast Program (This could also be a great way for American children to learn something about life in Jamaica).

Enclosed is a check for US $_____________ for the Option(s) indicated above. Please make check payable to: Chicago Concerned Jamaicans, Inc., P.O. Box 641189, Chicago, IL 60654.

Name: __________________________________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________________________________

Phone (optional): __________________________________________________________________________________________________________________________

E-mail (optional): __________________________________________________________________________________________________________________________

CCJ, Inc. is a 501(c)(3) not-for-profit organization registered with the US Federal government and the State of Illinois. Donations to CCJ programs are tax-deductible to the extent permitted by law.