My Donation to DPSF:

Name ____________________________________________

Address __________________________________________

City ______________________ State ______ Zip _________

Phone ___________________________________

I wish to contribute _________________________________

$1000 __________ $500 ____________ $100 ___________

$50 ____________ $25 _____________ Other __________

Check enclosed _________ Bill me ___________________

Quarterly ______________ Annually __________________

Total donation $___________________________________

 

Contributions to DPSF are deductible to the extent allowed by the Income Tax Law. The tax number is 73-1596288.

I wish to contribute:

(  ) in honor of  (  ) in memory of (  ) Teacher Tribute

Name ______________________________________________

    Please advise ____________________________ of this gift.

    Their mailing address is: _______________________________

    ___________________________________________________

 

 Mail to:

DEWAR PUBLIC SCHOOL FOUNDATION

P O BOX 346

DEWAR OK 74431

(Please print and include with your donation.)