Donation Form

Name: __________________________________________________________________

Address: ________________________________________________________________

             ________________________________________________________________

Phone: _________________________________________________________________

Donation Information:
___ Fellow ($1,000 or more)
___ Sponsor ($500-$999)
___ Friend ($100-$499)
___ Contributor ($1-$99)

___ Endowed program (for information on designated endowments, please contact the foundation.

I have enclosed a donation of $_________________

Please notify your employer if you are eligible for a corporate match.

Please mail this completed form and your donation to:
Paula Meyers, Treasurer
Bolton Community Education Foundation, Inc.
57 Country Club Road
Bolton, CT 06043