Yes, I want to take control of how my state income tax dollars are spent and provide   

       financial aid for our future leaders!

 

Name__________________________________________________________________

 

Address_________________________________________________________________

 

City_______________________________________, AZ   Zip Code________________

 

Phone #______________________________ 

 

E-mail Address_________________________

 

 

Donation amount enclosed/charged $_____________________

(Maximum donation is$500 for single or head of household.  Maximum is $1000 for married taxpayers filing joint returns)

  Please designate my donation to St. Anthony School

 

        Check enclosed payable to White Mountain Tuition Support Foundation

 

Visa           MasterCard          Discover

 

Card number____________________________________

 

Expiration Date__________________________________

 

Signature_______________________________________

 

 

Please return this form and your donation by December 31, 2007 to

 

White Mountain Tuition Support Foundation

P.O. Box 2047

Lakeside, AZ 85929

 

 

The White Mountain Tuition Support Foundation is a school tuition organization and tax exempt under Section 501 (c) (3) of the Internal Revenue Code.