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ABC Donation Form
A. We will donate the gift below to a junior high* student who has perfect attendance for the _______ school year. The gift will be awarded as a monthly incentive or at the Attendance Bank Ceremony in June.
DONATION(S):________________________________________________________________
(PLEASECHECK) for: LCJH_______LCMS________GVJH_______SBJH______CMS_________
* La Colina Junior High, La Cumbre Middle School, Goleta Valley Junior High, Santa Barbara Junior High, Carpinteria Middle School
Approximate total dollar value:_______________
B. We do not have a service/product but we will donate money to support the Attendance Bank Coordination. Make your tax-deductible donation to: La Belle Foundation
(Federal Income Tax exempt number: 95-3641171)
Dollar amount:_______________
(PLEASE PRINT)
FIRM/DONOR:________________________________________DATE:__________________
REPRESENTATIVE:___________________________________PHONE:_________________
ADDRESS:___________________________________________FAX:____________________
CITY:________________________________________________ZIP:_____________________
E-MAIL:_________________
SEND THIS FORM TO:
Career Education Office
PO Box 6307
Santa Barbara, CA 93160-6307
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OR: |
John McIntosh
5351 Carpinteria Ave.
Carpinteria, CA 93013
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Direct questions regarding this program to Betty Hatch at FAX 682-6839 or betty@selfesteem.org.
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