Text Box:  
NAME:____________________________________________________



ADDRESS:___________________________
                  ___________________________



Enclosed is my tax-deductible contribution of:


$_________________________
 

                                         THANK YOU!!!!!

 

 

 

 

 

 

 

 

 

 

Text Box: MAIL TO:
EPIC
200 Dr. Martin Luther King Jr. Blvd.
Riviera Beach, Florida 33404
Phone: (707)845-1171