Lakeshore Excellence Foundation Donor Form
Mail-In Contributions

Please print this form and send it to:
Lakeshore Excellence Foundation, 5771 Cleveland Avenue, Stevensville, MI 49127

Please Print:

Name: _______________________________________________________

Address: _____________________________________________________

City/State/Zip __________________________________________________

Daytime Phone: __________________________

Evening Phone: __________________________

I am a Lakeshore Graduate(Circle One): Yes / No

If Yes What Year?________

---------------------------------------------------------------------------------------------------------------------------

Please check the amount of your donation :
(Gifts to the Lakeshore Excellence Foundation are tax-deductable.)

My employer will match this gift (Circle One): Yes / No

Public acknowledgement of this gift should be made in the name of:

Name:_______________________________________________________

Address:_____________________________________________________

City/State/Zip: _________________________________________________

------------------------------------------------------------------------------------------------------------------------
Please make checks payable to: Lakeshore Excellence Foundation

| LEF Home | Contact Us! | Mission | Meet the Board | Project Information | Grant Recipients |
| Lakeshore Light Newsletter | Online Contributions | Mail-In Contributions | Web Design |