DELLA DAVIDSON ELEMENTARY PLAYGROUND
PROJECT
Name:_____________________________
Donor Type:
(circle)
Business
Individual
Primary Contact Name: ______________________________________________
Address:_________________________________________________________
City:
__________________________ State: _______________ Zip:
__________
Preferred Phone: _________________________
(circle) Cell Home Business
Preferred Email:_____________________________________
Donation Amount:
________________ (100% tax deductible)
Donation Type: (circle) Cash Check In-Kind
(checks made payable to Della Davidson PTO)
In-Kind Donation
Amount: ____________ (please
indicate the value of the in-kind donation)
In-Kind
Description:
_________________________________________________________
Are
you submitting for a matching gift from your employer?
(circle) yes no
If yes, employer name:
_______________________________________________________
Credit Card: Please make credit card donations via Paypal directed to delladavisdsonpto@gmail.com (note
“Playground Project” in memo). If
making a credit card donation, please be sure to return this form so we may
provide you with a proper tax receipt and recognition.
TAX RECIEPT
Tax receipts will be issued to the individual or business name listed
above. Receipts will
be mailed to the address provided above unless otherwise requested. If you do not wish to receive a
receipt, please indicate below:
(check) ____
YES, please send me a receipt _____ NO receipt
RECOGNITION INFORMATION
All donations will be recognized in promotional materials (newspaper,
newsletters, website etc.). A
plaque will be placed in the school, listing the name you have provided
above. If you would like to honor
your child, grandchild or friend on the plaque, please list the preferred name
below.
Plaque Name Listing (please print): _____________________________________
PLEASE MAIL THIS FORM TO:
Della Davidson PTO
c/o Fundraising Committee
209 Commonwealth Blvd, Oxford, MS
38655
OR
RETURN IN YOUR CHILD’S SCHOOL FOLDER
(PLEASE MAKE A COPY OF THIS FOR YOUR RECORDS)
