Microsoft Word - 17 - T - CO State Chapter Donation Form ...
COLORADO STATE CHAPTER – Donation Form(Please use this form for any Individual and Chapter Donations to CO State Projects)□COLORADO STATE PROJECTS Individual Donation Chapter Donation □Colorado State Scholarship Fund (CSSF) Fund #7713$ (Primarily for Students seeking Non-Traditional Degrees)Colorado Cottey Scholarship Fund (CCSF) Fund #8074$ (Colorado Cottey Students)INTERNATIONAL PROJECTS (Individual Donation Form for International Projects can be found at )Chapter City Date (Must be postmarked by 2-20-20 for Chapter Gift List 2019-2020)□□Educational Loan Fund (ELF)$ □International Peace Scholarship (IPS)$ □PIP – Include Partner in Peace form for gift of $500 or overProgram for Continuing Education (PCE)$ □□P.E.O. Scholar Awards (PSA)$ □Laureate Chapter Designation for gift of $500 or overSTAR Scholarship (STAR)$ Star Constellation Designation for gift of $500 or overP.E.O. Foundation□□Foundation Fund Name # $ Undesignated – Foundation Trustees distribute to projects where needed$ □Cottey College□Undesignated$ Designated $ (Library, music, fine arts, scholarships, etc.)TOTAL AMOUNT Enclosed $ Check # Thank you for your gift!Make check payable to Colorado State Chapter; mail check/form to State Treasurer, address found on Signed Chapter Treasurer or Individual Donor SignatureEmail Address City, State, Zip (Please note if gift is: IN HONOR OF OR MEMORY OF ) ~Use additional sheet if more than one~ ................
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