Wakefield High School Education Foundation

Name: ____________________________________________________________________
	First 			Maiden 			Last


Address: ___________________________________	Enclosed is my contribution for $ _________________

City: ______________________________________	__ I am a member of the WHS Class of ____________

State: ____________________ Zip: ___________	__ I am a past or present staff member ____________

Home Phone: ________________________________	__ I am a parent, spouse or friend of a member of the

E-Mail: ____________________________________	class of ____________

************************************		__ My contribution is:
*Make checks payable to		   *				
*Wakefield Education Foundation	   *		__ In memory of, 
*and mail to:			   *
*				   *		__ In honor of:
*Wakefield Education Foundation	   *					
*PO Box 41675 			   *			_______________________________________
*Arlington, VA 22204 		   *
************************************		Please notify the following about this contribution.
						
 						Name: ________________________________
 						
						Address: _______________________________
						
						City, State, Zip: __________________________

The Foundation is a 501 (c)(3) nonprofit organization. Donations are fully tax deductible.