Donation FormShould you choose, a gift to any designation can be made in honor or memory of a teacher, friend, or loved one. I would like to donate to... * the Lawrence Community Music School the Tutti Scholarship Fund the Tutti Scholarship Endowment Fund the Girl Choir Empowerment Fund Personal Information First and Last Name * Would you like your donation to be made anonymously? * Yes No Home Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * Format ex. 9205551212 Home Cell home phone or cell phone * Email Address * Verify Email Address * Spouse Information Would you like to add your spouse's information? * Yes No N/A First and Last Name * Phone Number * Format ex. 9205551212 Home Cell home phone or cell phone 2 * Email Address * Verify Email Address * Contribution In support of Lawrence Community Music School I/we wish to contribute * $ My/our gift is given in honor of memory of Name Name of Family Member to Contact Home Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Additional Comments/Instructions Additional Comments If you would like to make a multi-year please indicate your wishes in the comment box, including the amounts, designations, and months you plan to give. The gift information you enter above can count as the first year and will automatically be processed, but future years will not be billed through this online form. You will receive a reminder for future years the month before the due date and will be able to decide at that time to fulfill your pledge online or through the mail. Please contact us with questions the Community Music School with additional questions at 920-993-6278 or cms@lawrence.edu.After you submit this form and your payment information, a formal acknowledgment and receipt for your tax-deductible contribution will be mailed to you. Matching Gifts I work for a company that matches charitable gifts and will submit my form to the Community Music School. I work for a company... Matching gifts count toward giving clubs. You may wish to check with your company's Human Resources department or use our online Matching Gift Company Search to find out if it has a matching gift program. You may submit the appropriate paperwork to: Lawrence Community Music School 711 East Boldt Way Appleton WI 54911 Employment Information Would you like to provide your employment information? * Yes No Job Title * Employer * Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * Format ex. 9205551212 Would you like to provide your spouse's employment information? * Yes No Job Title * Employer * Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * Format ex. 9205551212 Thank you for your support of the Lawrence Community Music School! After you submit this form and your payment information, a formal acknowledgment and receipt for your tax-deductible contribution will be mailed to you. Questions? Comments? Please contact us:Lawrence Community Music School920-993-6278cms@lawrence.edu CAPTCHA This question is included to prevent automated spam submissions; it is not presented to logged-in users. Submit
