Give to Haycock 2022

Give to Haycock PTA
Thank you for supporting the Haycock PTA! The PTA looks forward to another great year of providing opportunities and support to both the teachers and students but, to do so, WE NEED YOUR HELP!!!

Haycock PTA is a 501c(3) organization (Tax ID# 52-1275576) and your donation is tax-deductible to the extent permitted by law. Please keep in mind that it might be possible for you to double your gift to the Haycock PTA. Many companies match the gifts of their employees and/or retirees. The PTA will be happy to fill out any matching gifts forms required by your company and/or provide a customized tax donation receipt. Please contact us directly at HaycockPTA@gmail.com with any questions that you may have.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Yes, I would like to support Haycock PTA by donating (you can check more than one box):
prevnext( X )
Get it done!$515.00
I would like to make a $500 tax-deductible contribution to support Haycock’s Armchair fundraiser and I would like to join the PTA for $15.

Go for it!$265.00
I would like to make a $250 tax-deductible contribution to support Haycock’s Armchair fundraiser and I would like to join the PTA for $15

Do My Duty!$165.00
SUGGESTED LEVEL: I would like to make a $165 tax-deductible contribution to Support Haycock’s Armchair fundraiser and I would like to join the PTA for $15.

For the Good！$115.00
I would like to make a $100 tax-deductible contribution to support Haycock’s Armchair fundraiser and I would like to join the PTA for $15.

Go Cougars!$65.00
I would like to make a $50 contribution to support Haycock’s Armchair Fundraiser and I would like to join the PTA for $15.

Why Not?$40.00
I would like to make a $25 contribution to support Haycock’s Armchair Fundraiser and I would like to join the PTA for $15

Armchair Only$1.00
I do not wish to join the PTA but would like to make a one-time contribution to Haycock’s Armchair fundraiser in the amount listed.

Quantity

PTA Only$15.00
I do not wish to make a contribution to the Armchair fundraiser but would like to join the PTA for $15 (the PTA membership fee is $15 per family)

Total $0.00
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Please Complete the Following for the Haycock School Directory and for PTA Membership (if you do not wish to join PTA, you may skip to the payment method below)
Are you a new family to PTA?
Parent/Guardian 1 Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Parent/Guardian 2 Name (Don't skip this! Please list all parents/guardians. VA PTA needs the headcount of all PTA members.)

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Haycock Student 1

First NameLast Name
Grade
Haycock Student 2

First NameLast Name
Grade
Haycock Student 3

First NameLast Name
Grade
Haycock Student 4

First NameLast Name
Grade
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Give to Haycock PTA

Please Complete the Following for the Haycock School Directory and for PTA Membership (if you do not wish to join PTA, you may skip to the payment method below)