AG Donation Form


Click here for a PDF of the Donation Form for printing, or click  here TO PAY ONLINE.

 

2016 / 2017 ANNUAL GIVING

Friends of Roscomare Annual Giving Fund is an essential program that finances many of the valuable educational enrichments at Roscomare that are not funded by LAUSD, including a Science Teacher and Lab, Computer Instructor and Lab, Art Teacher, Music Teacher, PE coaches, an extra teacher, classroom aides, some teacher training, teacher supplies, library books, Lexia, Science Night, gardener, copier repairs and much more.  All contributions to the Annual Giving Fund directly benefit our children and are 100% tax deductible. All students benefit, and all families are asked to contribute so we reach our goal of 100% participation.

Many companies set aside annual charitable contribution funds or Matching Programs. Please contact your employer to determine whether they will match your annual contribution.

Click here TO PAY ONLINE or complete your information below:

DONOR INFORMATION
Your Name: __________________________________________________
Address: ____________________________________________________
City/Zip: ___________________________________________________
Home #/Cell #________________________________________________

CORPORATE MATCHING PROGRAM
Company Name:________________________________________________
Address:_____________________________________________________
City/Zip:____________________________________________________
Phone #:_____________________________________________________

STUDENT INFORMATION:
Student: _____________________ Room #_____ Student: _________________ Room #_____
Student: _____________________ Room #_____ Student: _________________ Room #_____

DONATION: The suggested minimum donation amount is $1,000 per student or $100/month per student. Families who are able to contribute more are asked to please extend their generosity at this time.
Indicate your donation amount below:

1 Student = $1,000     2 Students = $2,000    3 Students = $3,000     4 Students = $4,000

____ $1,000 – 1 Student
____$1,250
____$1,500
____$1,700
____ $2,000 – 2 Students
____ $2,550

____ $3,000 – 3 Students
____ $3,400

____ $4,000 – 4 Students

____$5,000  or more (indicate higher amount here $_________)

Make CHECKS payable to “F.O.R.” Friends of Roscomare

Visa or MasterCard (preferred), or American Express:
Name as it appears on CC: ____________________________________
Credit Card Number:_____________________________________
Expiration Date: ____________
3 or 4 digit CVC code: ____________
Billing Address/City/Zip: ______________________________________________________

SELECT ONE:
___ Pay in full today by credit card or check #_______

___ Charge my credit card in 4 equal installments of $_______

___ Charge my credit card in 10 equal installments of $_______

___ Charge my credit card in ______ equal installments of $_________, totaling $_________

 

Donations are 100% tax deductible. IRC 501 (c)(3) Organization Federal Tax ID 95-3995859

CLICK HERE to DOWNLOAD a PDF of the School Calendar