Endowment Contribution Form

Please provide the following contact information:

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

I graduated from:

MHS

Other

Year Graduated

I would like to establish an endowment for the following person(s):

Name of Person(s)
Name of Endowment
Amount of Endowment
Specify what program you would like the funds to benefit (Choose only one ):
If you chose "Other" or would like your money to help a "Specific Grade" please indicate:
Additional Comments (if any):
*Either submit this form and we will contact you about your donation, or print this form out and mail it to the address at the bottom of the page along with your tax deductible donation.*

Oneida Education Foundation

250 West 400 North

Malad, ID 83252

Email

For questions or suggestions regarding this web contact [Kathy Kent].
Last updated: February 17, 2005.