2012-13 Donation Form
YES, I would like to support our children’s education by making a gift to the
Sierra Madre School Annual Fund!!!
Enclosed is my gift in the amount of:
$1,000 ______ $500______ $250 ______ $100 ______ Other: $ _______ (any amount is appreciated!)
(As you would like it to appear on any acknowledgements)
I would like this gift to be anonymous
Children’s Names: ____________________________________ Teacher(s): _____________________________________
Phone Number: _____________________________________ E-mail: _____________________________________________
My check, payable to Pasadena Educational Foundation (with Sierra Madre School Annual Fund
written on the memo line), is enclosed
Please charge my gift to ___ Visa ___ MasterCard
Acct. # ________/________/________/_______ Exp. Date ________________
Enter billing address (if different from above): ___________________________________________________________
Authorized Signature _________________________________________
I am interested in making a monthly pledge in the amount of $_________________. Please contact me to facilitate this donation.
My employer participates in a Matching Gift program. Please contact me to facilitate a
matching fund contribution by my employer
Tax deductible to the fullest extent of the law.
Fill out this form, attach your donation, and turn it into the school office (at either the Lower Campus or Upper Campus).
Thank you for your contribution!!!!