For Memorial Gifts and Honorary Gifts:
I am donating $ ____________.
Please make your check payable to Midland County ESA
What would you like the bookplate or theme box label to state?
In Memory of ______________________________________________________________________
In Honor of ________________________________________________________________________
How would you like your name to appear on the bookplate or theme box label?
_________________________________________________________________________________
How would you like the funds to be used? (Please indicate a subject area if you have a preference.)
Teacher resource books _____________________________________________________________
Children's books ___________________________________________________________________
Activity/theme box _________________________________________________________________
Other ____________________________________________________________________________
No preference _____________________________________________________________________
Where would you like us to mail an acknowledgement of this gift?
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
City_________________________________________ State _______ Zip ____________________
Where would you like us to mail the receipt?
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
City_________________________________________ State _______ Zip ____________________
For Other Donations:
I am donating $ ____________. Please make check payable to Midland County ESA.
___
How would you like the funds to be used?
How would you like the funds to be used?___Teacher resource books
Teacher resource books___Children's books
Children's books___Activity/theme boxes
Activity/theme boxes___Other _____________________________________________________________________
Other ________________________________________________________________________No preference
No preferenceWhere would you like us to send the receipt?
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
City_________________________________________ State _______ Zip ____________________
Thank you for your very generous donation.
Gifts are tax deductible.
Midland County 4C
Midland County Educational Service Agency
1714 Eastman Avenue
Midland, MI 48640
