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Pledge Sheet PP Scholarship Fund

To print and mail the form, click here.

KAHPERD Past President's Scholarship Pledge Sheet (Please print and send in with your donation)

KAHPERD Past President's Scholarship Pledge Sheet

Last Name
First Name
 
Home Address
City
State
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Work Phone:
Email
Type of Contribution
1 time     Annually (to be billed by KAHPERD) Matching
 
Enter Your Donation: $

 

 

Your generous gift to support the KAHPERD Past President’s Scholarship Fund is greatly appreciated. A copy of this form and acknowledgement letter will be sent to you for tax purposes. This form can be returned with payment to Dr. Lonnie Davis, 546 Gingermill Lane, Lexington, KY 40509.  Please make checks payable to KAHPERD, and note Past President’s Scholarship on check memo.

Lonnie Davis, KAHPERD Executive Director



 

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