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Annual Giving Donation Form


ANNUAL GIVING

The Annual Giving provides for enrichment programs for our children (computer lab, music, and art), professional development for faculty, instructional aides in each classroom, computer support, and much more.

100% of Roscomare Families should participate in the Annual Giving.
Suggested donation amount per child is $600

Donor Information

Name:
Address:
City:
Zip Code:
Home Phone Number:
Cell Phone Number:

Please note Roscomare Student names & room numbers below:
Student: __________________ Room#: ____
Student: __________________ Room#: ____
Student: __________________ Room#: ____
Student: __________________ Room#: ____

Donation Information

Donation Amount:

Visa or MasterCard Payment
Name as it Appears on CC:
Credit Card Number:
Expiration Date:
3 Digit V Code on back of CC:
Name:
Address:
City:
Zip Code:

PLEASE CHECK ONE:
☐ Please bill entire amount today
☐ Please bill my credit card in installments ____ (note number of installments)
Date of 1st installment: __________________

Check Payment: (Please make Checks Payable to RSBC)
Check Number:
☐ I will pay in installments ____ (note number of installments)
Date of 1st installment: __________________


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Calendar

9/13/2010
First Day of School

9/17/2010 » 10/4/2010
Gift Wrap Fundraiser

9/20/2010
Site Council Meeting - 2:50pm

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