Cheney Area Dollars for Scholars
Donation Form

The Cheney Area Dollars for Scholars Chapter is a tax exempt charitable organization under IRS ruling 501(c)(3). The purpose of the Cheney Area Dollars for Scholars Organization is to support existing scholarship programs, facilitate community support of educational excellence, and increase scholarship availability for students in the Cheney/Airway Heights communities.

Please print and fill out the form below. Mail the completed form to:
Cheney Area Dollars for Scholars - 460 North 6th Street - Cheney, WA    99004
 
Name .
Street Address .
City .
State .
Zip Code .
Phone (day) .
Phone (evening) .

___ My gift is a cash contribution.  Please use my gift of  $___________ toward the greatest need in the program as determined by the board of directors.
___ I would like my contribution to be used toward the following:
             $___________ toward direct scholarships
             $___________ toward on The Director's Endowment fund
___ Please contact me to discuss setting up a new endowment.

_____ You may post my name as a contributor in publicity materials. (Checking this option allows us to recognize you as a supporter of Dollars for Scholars and also helps us to show others the grass roots nature of our community's support.  Only your name will be used; addresses, phone numbers, and other contact information will not be given out in any way.

____ Please feel free to post my name as a contributor.  However, do not include my name in any of the publications checked below:
      __ News Release
      __ School District Newsletter
      __ Dollars for Scholars web site
      __ Poster, Brochure, or Flyer

____ I / We prefer to remain anonymous

Thank You!

 

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