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:__________________