POWAY UNIFIED SCHOOL DISTRICT FOUNDATION Twin Peaks Road Poway

Document Sample
POWAY UNIFIED SCHOOL DISTRICT FOUNDATION Twin Peaks Road Poway Powered By Docstoc
					                    POWAY UNIFIED SCHOOL DISTRICT FOUNDATION
                            13626 Twin Peaks Road, Poway, California 92064-3034
                                    (858) 668-2730 Fax (858) 748-7368
                                   http://www.powayusd.com/partners/foundation


                                            DONATION FORM

     YES! I want to contribute to the Poway Unified School District Foundation!
       All proceeds will be used to benefit all students of the Poway Unified School District.


         I would like to make a donation of $ _____________

         I am a:                Parent* ______ grade level           Grandparent*          Relative*
                                 *Please check with your employer. They may have available Matching Funds.
                                Corporation       Civic Organization          Community Member

         Mr. Mrs. Ms. (please circle)

         Name (please print):

         Company or Organization:

         Address:

         City, State, Zip:

         Phone: (day)                                          (evening)
Mail payment & donation form to: PUSD Foundation, Attn: Irene. S. Frank, 13626 Twin Peaks Rd., Poway, CA 92064.
             Check or Money Order Payable to: PUSD FOUNDATION
             VISA              MasterCard: Cardholder Name:

         Cardholder Signature:
                                       Signature above authorizes Poway Unified School District Foundation to charge my credit card.

         Statement Mailing Address (if different from above):

         City:                                                  State:                                  Zip:

         Card Number:

         Expiration Date:                             V Code*:                                 *3 digit code on back of card

                              All contributions are tax-deductible. Tax ID #54-2098945
                                    Thank You for Your Donation!

         F-035-05 LLA