Loyola School Shea-Armstrong Golf Classic Monday, June 8, 2015 The Rockaway Hunting Club, Lawrence, NY Gift Donation Form Donor Name/Organization: Circle one: a) Alumnus Address: City: Phone:
b) Parent
c) Past Parent
State: Fax:
d) Faculty
e) Friend
Zip Code: E-mail:
I/we are unable to donate a gift to this year’s Golf Classic, but would like to make a contribution. Enclosed is a check in the amount of $_________________ -orPlease charge my/our credit card in the amount of $ Circle one: a) Amex b) Discover c) MasterCard d) Visa Credit Card #: Expiration Date: Security Code:__________ Authorized Signature: Date:
Donation Information Description of Item/Service:
Additional Information (if applicable, designate item restrictions/specific use, dates, etc.)
Retail Value: $ _____________
PLEASE CHECK ONE
□ Donor to mail/deliver item by: ____________________ (date) □ Store/Gift Certificate Enclosed □ No tangible gift certificate-Loyola should create one Please submit all tangible donations by May 22, 2015. All donated items become the sole property of Loyola School. All proceeds from the Golf Outing benefit Loyola School.
Solicitor Information Solicitor Name: (H) Phone #:
(W) Phone #
Fax #:
For Office Use Only □ Sent gift certificate/item □ Create display certificate Send or fax your completed contract with gift(s) to: Loyola School - Advancement Office 980 Park Avenue New York, NY 10028 -or- Fax: (212) 879-4864 Questions? Call Lara Torsky at 646.346.8134 or email at ltorsky@loyolanyc.org