A free, public charter elementary school
Handcrafted in Durango, Colorado
DONATION FORM
DONOR INFORMATION
3 Ways to Donate to the Start-Up Efforts of The Juniper School:
Name
1. Donations requiring Tax Deduction: Fill out this donation form. Checks or money orders made out to CLCS
(Memo Line: The Juniper School). Retain receipt below.
2. Donations NOT requiring Tax Deductions: Fill out this form. Checks or money orders made out to The
Juniper School.
3. Donations requesting to be made in person: Email us at thejuniperschool@gmail.com and we will make a
time to meet.
All Donations can be sent to: The Juniper School/DSoC/PO Box 655/Durango, CO/81302
Billing address
City, ST, Zip Code
Phone 1 | Phone 2
Fax | Email
DONATION INFORMATION (ATTACH DONATION TO THIS FORM)
Donation Amount: $____________ Reoccurring Payment Option: ☐monthly ☐quarterly ☐yearly
Form of Contribution: ☐cash ☐check
Tax-Deductible: ☐ yes ☐ no
Gift will be matched by (company/family/foundation)
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
☐I (we) wish to have our gift remain anonymous.
---------------------------------------------------------Receipt of Donation for TAX DEDUCTION------------------------------------------------RETAIN THIS COPY AS PROOF OF YOUR DONATION UNTIL YOU RECEIVE OFFICIAL RECEIPT FROM THE COLORADO LEAGUE
OF CHARTER SCHOOLS. THANK YOU! THE JUNIPER SCHOOL
Name of Donor:__________________________________________ Date of Donation:_______________________ Amount Donated:__________________