16th District Donation Form
Donation Form Tax ID #68-0354920
Please fill out this form with your information and pledge.
All checks can be made out to: 16th District PTA
Please send your check care of: Sixteenth District President
Marin County Office of Education,
1111 Las Gallinas Avenue,
San Rafael, CA 94903
Donor Name ( you may write Anonymous if you prefer) *
Contact name (if different)
Would you like us to pick the check up from you? Please make sure you have included contact information.
Zip Code *
Email address
Donation amount
Would you like to earmark these funds for a specific cause? IE: Advocacy, Legislation Conference, Training...
Would you like to say anything to the board? You may tell us something about you if you would like to be recognized.
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