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WAUSAUKEESCHOOLEXCELLENCEINEDUCATIONFOUNDATION

DONATIONFORM

Yes,IwouldliketoassisttheW ausaukeeSchoolExcellenceinEducationFoundationinensuringqualityeducationin
ourlocals chooldistrict.Iwishtoc ontributetothiseffortinthefollowingway(pleasec heckasapplicable):

MyGiftAmountof$_________________isenclosed.
MyPledgeAmountis$_______________(Pleasec heckonebelow)
Perm onth
Peryear

Startingfrom(date)____________to(date)________________

IaminterestedinbeingontheFoundersPlaque
__$100level(enclosed)
__$500level(enclosed)
__$1,000level(enclosed)
__$5,000level(enclosed)

Nameasontheplaque________________________________________________

MEMORIALdonation.Pleasec hecklevelthatapplies:
Levelsforinclusiononthem ainplaque
__$100level(enclosed)
__$500level(enclosed)
Levelsforindividualplaquerecognition
__$1,000level(enclosed)
__$5,000level(enclosed)

Nameasontheplaque________________________________________________

Asagiftc ardfors omeoneelse.Giftamountof$_____________isenclosed.
Pleaseindicatetheoccasion___________________________________.
AspartofaMemorialfundfors omeonedeceased.Amountof$________________isenclosed.
Pleaseindicatethedeceased____________________________________________.

Ifyouhavedonatedonbehalfofs omeoneandwouldlikeustos endthec ard,pleasefilloutthenameandaddressto
senditto:
______________________________________________
______________________________________________
______________________________________________

Yournameandaddress(requiredtoreceivetaxdeductiblereceipt)
________________________________________________
________________________________________________
________________________________________________

Pleasem akec heckspayableto:W AUSAUKEESCHOOLEXCELLENCEINEDUCATIONFOUNDATION,withM&M
Foundationinthem emoline.
Sendto:WausaukeeSchool ExcellenceinEducationFoundation
P.O.Box258,N11941Hwy141,Wausaukee,WI54177
Thankyoum osts incerelyforyours upport!

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