Donations by Check for the GIVE BACKpacks Campaign
Please complete this form, print a copy and include it on your envelope with your check.
Salutation
Your Name as it appears on the Check
Your answer
Additional Name on the Check
Your answer
Name of PTA, Company or Organization
Your answer
Street Address - (No abbreviations for street suffix - i.e., Street, Boulevard, Avenue, etc.)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Donation Amount
Your answer
Check Number
Your answer
Date of Check
MM
/
DD
/
YYYY
Is this an anonymous donation?
How did you hear about our campaign?
Thank You!
Please print a copy for your records. You may send your check or money order made payable to the MCPS
Educational Foundation with any acknowledgement information to:

MCPS Educational Foundation, Inc.
P O Box 1007
Rockville, MD 20849 - 1007

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