MYAA Youth Ambassador Stripe Page MYAA Ambassadors Donation Payment Form Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Adopt An AmbassadorOur MYAA Youth Ambassadors are looking for sponsors. A Sponsorship includes the following: 2 Trainings Uniforms Advocacy Programming Attendance at the National CADCA Conference, in D.C. Adopt-An-AmbassadorThe total cost to adopt an Ambassador is $3737. We offer several options to help support the Ambassadors.All Sponsor Level Donors will have their name/logo on our website as well as on the banner at the Community Breakfast. none Uniforms - $50 Training (1) - $100 Lodging - $250 Bronze Sponsor - $500 Silver Sponsor - $1000 Gold Sponsor - $3737 Support Our YouthDeveloping leaders. Implementing programs. Empowering youth. The perfect trifecta for youth substance use prevention is the Youth Ambassador program, powered by ACT Missouri. Each year, the strongest young advocates in Missouri high schools are invited to champion a cause that affects every community.Support Our YouthWant to support our programs but don't want to earmark the funds for any particular program? Please feel free to donate here! Silver, Gold and Platinum Sponsor Level Donors will have their name/logo on our website as well as on the banner at the Community Breakfast. none Gift of $10 Gift of $25 Gift of $50 Gift of $100 Silver Sponsor - $250 Gold Sponsor - $500 Platinum Sponsor - $1000 I wish to remain anonymous: Yes No TotalACT Missouri is a 501(c)3 not-for-profit organization. Your contribution is tax-deductible to the extent allowed by law. No goods or services were provided in exchange for your generous contribution. Please keep this acknowledgment of your contribution for your tax records. $0.00 Payment Information:Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name