|
|
|
(To print this form only: highlight the text, and
choose "selection" option to print)
|
|
Please print and use this form for contributions,
memorial gifts, or for honoring you friends and family
on special occasions.
Once completed, mail this form and gift to: |
|
North Rome Christian School |
|
R.R.1 Box 190A |
|
Ulster, Pennsylvania 18850 |
|
|
Please accept my tax deductible contribution of
$___________ |
|
___ Check Enclosed (Please make
payable to North Rome Christian School. ) |
|
___ Cash |
|
|
All contributions are tax-deductible as allowed by
law.
|
|
|
Your Name:
___________________________________________________ |
|
Address:
_____________________________________________________ |
|
City: ____________________________ State __________ Zip
__________ |
|
E-mail Address:
_____________________________________________
(To be held in privacy) |
|
My gift is made: |
|
In Memory of:
__________________________________________________ |
|
In Honor of: _________________________ for the occasion
of ________ |
|
__________________________________________________________ |
|
Please Notify : |
|
Name _____________________________________________ |
|
Address ___________________________________________ |
|
City_____________________________State____________Zip__________ |
| |
|
Thank you for your generosity! |
