Please Copy and Paste This Form:

Yes, I want to support the work of The Restorative Justice Center with the following contribution:

_____$100 will provide 50 MARTA tokens to help clients get to and from required programs

_____$250 will reunite 4 homeless people with family and support in other cities

_____$500 will provide 12 scholarships for GED, job search, anger management programs

_____$1,000 will provide 54 days of housing costs for those in residential treatment

_____Other

Name as you wish to be listed_________________________________________________

Address_________________________________City___________State____Zip_________

Phone Number_____________________________________________________________

____Check enclosed

____Credit Card         ____ MasterCard      ____ VISA      ____ American Express

Name on Card_____________________________________________________________

Card Number_________________________________ Expiration Date_________________

Donor Signature_______________________________Date_________________________

_____My company will match my gift.  Enclosed is my  matching gift form.

Please mail this completed donor gift form and your check or credit card information to

The Restorative Justice Center

P. O. Box 55228

Atlanta, GA 30308

Thank you for you tax-deductible gift. 

A tax receipt letter will be mailed to the donor address provided above.

The Restorative Justice Center is a benefiting member of

The Georgia Black United Fund