Rochester Community Schools Foundation

Contact Information

Name

*

First Name

Last Name

Organization/Employer Name (if made on behalf of a company)

Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Donation Information

I would like to donate:

*

$1,000 - Mission Partner

$500 - Mission Advocate

$100 - Mission Networker

$50 - Mission Supporter

$25 - Thankful

$12 - Keepsake Ornament

$

I wish to designate my donation to:

*

I would love to support the following:

*

Elementary Field Trips Fund

Swim For Success! Project

I would love to split my donation and support the following:

*

Elementary Field Trips Fund

Swim For Success! Project

Elementary School (contributing to):

*

Sip, Savor and Shop

*

Choose One:

Vendor

Vendor and Helper(s)

Attendee

How Many Helpers:

*

Choose One:

One

Two

Three

Would you like to split your donation:

*

Additional Contribution:

*

Split Amount: (Please choose $ if amount is not listed)

$50

$40

$30

$20

$10

$

Additional Contribution:

*

Split Amount

Please designate the split contribution to:

*

Additional comments about this donation

Thank You:

*

RCS Employee Name

School/Building of RCS Employee

*

Where would you like the gift delivered?

Please tell us what makes this employee so special:

*

This gift is a tribute?

*

No

Yes, In Honor of ...

Yes, In Memory of ...

This gift is in honor or memory of ...

*

Prefix

First Name

Last Name

Suffix

Note of Dedication

*

Please notify the following family member of my gift:

Prefix

First Name

Last Name

Suffix

Address of person to be notified

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Anonymous Gift:

I prefer to make this donation anonymously