Untitled Document

PROGRAM

Sponsor Name_____________________________________________________________
(Leave blank if you wish to be anonymous)

Teacher Request ID Number_________________________________________________
(Record the Teacher Request ID Number listed on the Website.)

Description of Donation:

_________________________________________________________________________

_________________________________________________________________________

Identify any Requirements or Stipulations for Use of Donation:

__________________________________________________________________________

Submitted to PTA on Date:_____________________________________________________

Please print, complete and send to:
Apex Elementary PTA , 700 Tingen Rd., Apex, NC 27503, Attn: Donor Coordinator
Make checks payable to Apex Elementary PTA.

FOR OFFICE USE:

Donor Form Received By: ______________________________________________________ Date: ________________

Date Submitted Donation Entered into Donation Database: _________________________________________________

Date Donor Tax / Thank You Letter Sent: ________________________________________________________________

Date Donation Deposited ______________________________________________________________________________