Greenfield Center School
Annual Fund

Please print this form and send to:
Greenfield Center School
71 Montague City Rd.
Greenfield, MA 01301

Name: _______________________________

_ Alum

_ Parent

_ Grandparent

_ Friend

Address:

_________________________________________

_________________________________________

Phone: ___________________ Email: ________________________

_ Enclosed is my check payable to:

Greenfield Center School

_ Charge to _ VISA _ Mastercard

Card #: ___________________ Expiration Date: ________________

__________________________
Cardholder Signature

__________________________
Cardholder Name (Please print)

1 x $ _________________ (one-time)

12 x $ ________________ (monthly)

_ Anonymous

_ In honor of _______________________________

_ In memory of _____________________________

_ Matching Gift Form included

All gifts are tax-deductible!
Thank you.