Donation or Gift Authorization and Acceptance Form

Donation or Gift Authorization and Acceptance Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Cell Phone Number
Email
Enclosed is my tax-deductible gift of
Donation of (if non-monetary)
I would like my donation applied toward:
1)
2)
3)
4)
5)
Please make checks, corporate matches and other donations payable to:

Bemidji Area Schools
Please keep my donation confidential*

YesNo
Should be Empty: