Partners in Education: Elementary Schools Campaign Form

Partners in Education Donation Form
Elementary Schools Campaign

Dept. 33329, P. O. Box 39000
San Francisco, CA 94139-33292

Please fill in the form below then click here to print this document
When finished mail it to the address above.

Name:
Address:
City:
State:
ZIP

School attended by child(ren)

Yes! I can contribute $ ($475 for each child ). My gift will be used toward the cost of valuable staff and programs all of our elementary schools.

Yes! I can do more! I can contribute $ for each child

Yes! I want to be part of this important effort . I am able to contribute $ for each child. Every dollar makes a difference in our classrooms!

I have enclosed a check made out to “Partners in Education”

Please charge $ to my Visa/Mastercard #

Exp.Date: Signature:___________________________________________________

Yes! My/our employer(s) will match contributions

Employer Name(s):

*Please ask your Human Resources Department for a Matching Gift form

I prefer that my name not appear in “Partners in Education” publications

Partners $1 - $499 Per Child	Honor Roll $500 - $999 Per Child	Cum Laude $1000 - $2499 Per Child

Magna Cum Laude $2500 - $4999 Family Gift	Summa Cum Laude $5000 - $9999 Family Gift	Circle of Excellence $10,000 or above Family Gift

Partners in Education Donation Form Elementary Schools Campaign

Partners in Education Donation Form
Elementary Schools Campaign