Name:
________________________________________________________________________
Company/Organization:
________________________________________________________
Address:
______________________________________________________________________
City:
_________________________________________ State: ________ Zip: _____________
Telephone:
___________________________________ Fax: ___________________________
E-mail:
_______________________________________________________________________
________________________________(fill
in name) hereby donates to
the California
Network
of Educational Charters (CANEC) the
amount of $ _____________________.
It is
expressly understood that this donation is given freely and that the
Board of Directors of CANEC will determine its best usuage to further
the mission of CANEC.
CANEC's Tax ID number is 94-3182219.
I would like to
make my tax deductible donation by:
_____
Check
_____
Credit Card. (Credit Cards other than Visa and MasterCard NOT accepted.)
Type:
_____ Visa _____ MasterCard
Account
#: _______________________________________________________
Print
name as it appears on card: _________________________________
Signature
of cardholder:___________________________________________