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.noneUniforms - $50Training (1) - $100Lodging - $250Bronze Sponsor - $500Silver Sponsor - $1000Gold Sponsor - $3737Support 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. noneGift of $10Gift of $25Gift of $50Gift of $100Silver Sponsor - $250Gold Sponsor - $500Platinum Sponsor - $1000I wish to remain anonymous:YesNoTotalACT 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 ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name