I contributed the following amount to the Ritchie Park Elementary School PTA in 2015:
a tax deductible contribution in  cash or with check number__________:
 in the amount of ________
Or, in one of the following suggested amounts:
 $25
 $50
 $75
 $100
 $250
 $500
Please retain the top portion of this form for your tax files and return the bottom portion to
school with your child. For friends and family, kindly copy this form.
RPES PTA Tax ID # 52-6070720
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 Yes, I would like to make a tax-deductible contribution. Enclosed is cash* or check made
payable to Ritchie Park PTA:
 in the amount of ________ **
Or in one of the following suggested amounts:
 $25
 $50
 $75
 $100
 $250**
 $500**
 My employer _________________________is also providing a matching gift of__________.
Name:________________________________________________________________________
Child(s) name and their teacher(s) name:_____________________________________________
_____________________________________________________________________________
Address:
_________________________________________________________________
_________________________________________________________________
E-mail:_________________________________________ Telephone:____________________
* If making a donation in an amount greater than $25, please do so by check.
** We would like to publicly acknowledge donations of $250 or greater. If you would like to
remain anonymous please indicate so here_________________________________.