Email address *
DEARBORN PUBLIC SCHOOLS DONATION FORM
Today's Date *
MM
/
DD
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YYYY
Name of Donor: *
Donor Address: (Include City, State & Zip) *
Contact Person: *
School (for Donation) *
Description of Donation/Grant (Value or dollar amount must be $100.00 or more) (ONE DONATION PER FORM) *
Please state how donation/grant will be used by the school: *
Building Principal Name
Supporting documentation (attach copy of check, donor's choice list of materials, etc)
Superintendent's Signature
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