Print form below...

YES, I want to make my tax-deductible donation!

 

Name _________________________________________________

 

Address _______________________________________________

 

City _______________________________ State ______________

 

Zip _____________________ Phone ________________________

 

___ BL-H-S School Foundation Endowment Fund (long term fund)

 

___ BL-H-S School Foundation Project Fund (immediate fund)

 

___ Check enclosed and made payable to:

            BL-H-S School Foundation

 

___ I/we prefer to use a credit card (circle one)

 

     Visa                        MasterCard               American Express

#________________________________________________________

Expiration date __________________

 

Signature _________________________________________________

 

___ I/we would like to make this gift:

 (circle one and list name below exactly as you would like it to be listed)

      In Memory Of                  or                     In Honor Of

 

_______________________________________________________

 

___ I/we prefer to remain anonymous.

 

Please return to:

BL-H-S School Foundation

P.O. Box 522

Hector, MN 55342

*You will receive a tax receipt from our partner, the Southwest Initiative Foundation.