Prairie School Foundation Donation Form - Gift by Mail
Gifts to the Foundation provide a crucial source
of support for academic initiatives.
|
Please print this form, complete the information and then
mail it with your contribution to:
Prairie School Foundation
401 76th Ave SW
Cedar Rapids, IA 52404
|
Giving Societies
|
Leadership Circle
|
$5,000 and above
|
|
Presidents Society
|
$1,000 - $4,999
|
|
Scholars Honor Club
|
$500 - $999
|
|
Hawks Honor Club
|
$250 - $499
|
|
Prairie Honor Club
|
$100 - $249
|
|
Friends of the Foundation
|
$1 - $99
|
|
Enclosed is my/our gift of $______________________________________________
Name/s________________________________________________________________________
Address:_______________________________________________________________________
Phone:________________________________________________________________________
|
I authorize the Prairie School Foundation to charge $ __________ Mastercard____ Visa____
Name as it appears on card:____________________________________________________
Expiration date:__________________________
Card number: __________________________________________________________
(if you prefer not to mail your credit card account number, you may call the Prairie
Foundation office at 848-5437 and provide this information by telephone.)
Employer Match: Yes_____ No_____
Employer:
|
Many local and national companies have a matching gift program. Take this opportunity
if your employer has a matching gift program and increase the impact of your contribution.
Local and employers like Rockwell, Quaker Oats, General Mills and many more have a matching
gift program. This means you can double or even triple the impact of your gift.
|
Signature: _______________________________________ Date________________
|
