Yes!
I want to help create outstanding memories for future Central High students!
First Name __________________________________ Last Name ________________________________
Address __________________________________ Maiden Name ________________________________
__________________________________
City __________________________________
State _______

Zip Code

____________
Home Phone ________________ Daytime Phone ________________
E-mail __________________________________
CHS Class of _______
 
____ Enclosed is my tax-deductible contribution of $25, $50, $100, $500 or other $_________
____ My check is enclosed made payable to the Central High School Foundation.
____ I wish to use my credit card  ____ MasterCard  ____ Visa ____ American Express ____ Discover
Account Number _______________________________________  Expiration Date  ___________
Signature ______________________________________________________________________
____ My employer will match my gift.  I have attached the appropriate form.
____ I am interested in including the Central High School Foundation in my estate planning.
____ I would like to make an additional gift to the Scholarship Endowment Fund in the amount of $ _________.
If this gift is made in memory or honor of someone, please complete the following:
____

In memory of  ____________________________

____ In honor of   _____________________________

Please notify:

_____________________________________________________________
Address: ____________________________________________________________
City State Zip: ____________________________________________________________
Notification of your gift will be sent.  The amount remains confidential.
My Central Memories ___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
contact:chsfoundation@cox.net
Last Updated: Thursday, August 24, 2020