___________________________________Name of
Individual or Business
___________________________________Address
___________________________________City, State, ZIP Code
I/We would like to pledge $_______
_____ Check enclosed
_____ Annual payments of $_______
__________________________________ Please specify if you desire your donation to be directed
toward a specific area.
|
PLEASE DETACH AND RETURN WITH YOUR DONATION |
CONTRIBUTOR CATEGORIES Bronze................................ $250-$499 Silver.................................. $500-$999 Gold............................. $1,000-$1,999 Platinum.............................. $2,000-up |
Mail to: Creek Valley Schools Foundation Box 608 Chappell, NE 69129 |