Contribution Form

Contribution Form

October 21, 2013

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YES! I want to make a difference in Education in Sapulpa!

 
_____ I want to contribute to the Teacher Grant Fund.     

_____ I want to contribute to the Scholarship Fund.

Enclosed is my tax-deductible gift in the amount of   $________.

 Date:
           Company/ Organization:

             Name:

             Address:

             City / State / Zip:

             Phone:

             Email Address:

 The Sapulpa Public School Foundation, Inc. is recognized by the Internal Revenue Service as a 501 c (3) charitable organization and gifts are tax deductible.   Please mail check with this form to:

Sapulpa Public School Found, Inc.
P. O. Box 2169
Sapulpa, OK 74067

If applicable, my gift is ___ in memory, or ___ in honor of ________________________

____ Please send an acknowledgement of this gift (without reference to the amount) to the individual below:

         Name:

         Address:

         City / State / Zip

YOUR INVESTMENT IN THE FUTURE IS APPRECIATED.

THANK YOU for your support.

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