Name
Contact (if company)
Address
City
State
ZIP
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Please accept our contribution of:
Platinum Leader $10,000 and above
Gold Leader $5,000 to $9,999
Sponsor $ 3,000 to $4,999
Partner $1,500 to $2,999
Patron $750 to $1,499
Friend $150 to $749
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Check enclosed in the amount of $
Please invoice me/my company $
You can expect a check by (date)
in the amount of
$
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| The Hord Foundation, Inc. is a qualified non-profit 501(c)(3) organization affiliated with the Citizens' Scholarship Foundation of America (Dollars for Scholars). |
Please clip & mail to:
The Hord Foundation
P.O. Box 4671
Danbury , CT 06813
Phone: 203 790-4014 |
