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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
Additional Name on the Check
Name of PTA, Company or Organization
Street Address - (No abbreviations for street suffix - i.e., Street, Boulevard, Avenue, etc.)
City
State
Zip Code
Phone Number
Donation Amount
Check Number
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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