STAR Award : Other Ways to Give : How To Help : East Grand Rapids Schools Foundation

STAR Award

Donor Name:

Name of person(s) GIVING the Star Award (as you would like it to appear on the certificate)

Address:

Street Address

Address Line 2:

Address Line 2

City:

City

State:

State

Zip Code:

Zip

Phone Number:

Phone

Email:

Email

Donation Amount:

Star Award: $25.00 each, please select the amount below that reflects the number of awards requested. Multiple awards can be purchased in one transaction. Please be sure to enter information on award recipients below.*

$25
$50
$75
$100
Other

If "Other" please use "Other Amount" field.

Other Amount:

$

Additional Donation:

Additional Donation (please enter exact amount in box below):

$

Delivery Preference

I would like EGRSF to deliver my STAR Award(s)
I would like to pick up the STAR Award(s) from the EGRSF office

Name(s) of Star Award recipient(s) as you would like them to appear on the certificate. Certificates for multiple teachers/staff members can be included on this one form.

Recipient Name and Building:

To:

Please share why this person is a STAR?

Comment:

From:

From:

Recipient 2 Name and Building:

To:

Please share why this person is a STAR?

Comment:

From:

From:

Recipient 3 Name and Building:

To:

Please share why this person is a STAR?

Comment:

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From:

From:

Recipient 4 Name and Building:

To:

Please share why this person is a STAR?

Comment:

From:

From:

Recipient 5 Name and Building:

To:

Please share why this person is a STAR?

Comment:

From:

From:

Additional Star Awards

Name(s) of Additional Recipients:

Please enter any additional STAR AWARD recipients and the donor's name here:

The East Grand Rapids Schools Foundation will mail your STAR Award to the home address of each recipient.

Credit Card Information

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Billing Zip Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

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