West Sioux Educational Foundation Donation Form
Please print this form using your browser's Print function and mail with your enclosed donation to:
West Sioux Educational Foundation, PO Box 272, Hawarden, IA 51023

I/We support innovative academic enrichment projects in public education.

Name(s)_________________________________________________________

Address_________________________________________________________

City________________________  State______  Zip_____________

Telephone (_____)_____________ Email address________________________

Graduate of:  ___Hawarden   ___Ireton   ___West Sioux    Year______

Donation Amount:__________

Would you like your gift to remain anonymous?  ___Yes    ___No

Please print your name(s) below as you wish it to appear in recognition materials:

_______________________________________________________________

This contribution is:  ___In Memory of:   ___In Honor of:

Name(s) of person(s) being memorialized or honored:

_______________________________________________________________

You may be able to DOUBLE your contribution!
Will your employer match your gift?  ___Yes   ___No

If yes, please fill out the following. We will be happy to find out if your employer will match your gift.

Company Name____________________________________________________

Address_________________________________________________________

City________________________  State______  Zip_____________

Telephone (_____)_____________ Contact person______________________
Please print this form using your browser's Print function and mail with your enclosed donation to:
West Sioux Educational Foundation, PO Box 272, Hawarden, IA 51023