Printable Contributions Form

Name ______________________________________________

Address ____________________________________________

City, ST, ZIP_________________________________________

Phone ______________________________________________

Email Address _______________________________________

 Levels of Giving

__Fellow	$1,000
__ Benefactor	$500
__ Donor	$250
__Friend	$100
__Supporter	less than $100

  Please accept my contribution in the amount of: $_______

 __ My contribution is to be matched by corporate matching funds.

Company Name:
Address:
Phone:
Contact Name:

 __ I want to discuss being a mentor.

 Please indicate if contribution is being made to the general fund or as part of a named fellowship.

__ General Fund

___ Named Donation ___ in honor of ___ in Memory of




(Name:_______________________________)


___ I want to discuss being a mentor.


___ I want to discuss establishing a named endowment

 

Please mail your contribution to the WEDC Foundation general mailbox:

WEDC Foundation
Box 4761
Huntsville, AL 35815