Printable Donation Form (Word)

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NORTHWEST EDUCATIONAL FOUNDATION
Printable Donation Form
Yes! I’d like to help enrich the future of Northwest Public Schools
through a monetary gift!
____ Enclosed is my gift of $_____________ to the Northwest Educational Foundation.
____ Enclosed is $ ___________ toward my pledge of $ __________. I expect to fulfill this pledge
by __________________ (month / day / year / on-going). Circle one
I would like to maintain my monthly contribution or one time gift amount.______
I would like to increase my monthly contribution or one time gift amount to
___________________.
I am a new contributor to the Foundation and would like to contribute the amount indicated above.
Name ___________________________________________
Address__________________________________________
City______________________ State _____Zip __________
Phone ______________________
My donation is in memory / honor (circle one) of _________________________.
If you are an alumnus of Northwest High School, please indicate year ____________
Please print and mail this form to:
Northwest Educational Foundation, 2710 N North Rd, Grand Island, NE 68803-1199
or e-mail Len Mulligan at foundation@ginorthwest.org
Thank you for your support!
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