Foundation Scholarship Donation Form

Washington State School Retirees Foundation

a 501(c3) Scholarships for Future Educators
Full Name*

First NameLast Name
E-mail*

Confirmation Email
Phone Number*
Donor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Donation type:

I am sending a Donation to the Foundation Scholarship FundI am sending a Memorial to the Foundation Scholarship FundI am sending a Honorarium to the Foundation Scholarship FundOther
My Donation*

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USDDonation to WA. State School Retirees Foundation Scholarship Fund.
If you are sending a gift as a Honorarium or Memorial and would like the person notified of this gift, you must include their full name and address.

*   Donation Amount
First Name         Last Name

Street Address

City   State   Zip
If you are sending a gift as a Honorarium or Memorial and would like the person notified of this gift, you must include their full name and address.
Person to be notified of a donation.
Donation Amount First Name Last Name
Street Address City State Zip
Second person to be notified of a donation if your donation is for more than one person.

Donation Amount First Name Last Name
Street Address City State Zip
Third person to be notified of a donation if your donation is for more than one person.

Donation Amount First Name Last Name
Street Address City State Zip
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Washington State School Retirees Foundation