Items in
bold
are required
Name:
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:
(Please include area code; with or without punctuation)
E-mail:
I would like to
donate the sum of
:
$
(Do not use commas or dollar signs; ex. 1000
or
50
or
25.50)
To the following fund:
Select the scholarship you wish to give to
Class of 1968 Scholarship Fund
Class of 2005 Scholarship Fund
Gaylord Belton Memorial Scholarship Fund
Gus Hildebrand Memorial Scholarship Fund
Helm Sisters Memorial Scholarship Fund
Hilliard Family Memorial Scholarship Fund
Jeff Birney (Fox) Memorial Scholarship Fund
John Lawless Memorial Scholarship Fund
Kevin Dekat Memorial Jazz Scholarship Fund
Pickering Award Fund
Rebecca Sester Memorial Scholarship Fund
Sarah Katherine Watt Education Fund
Teresa Ann Siebert Memorial Scholarship Fund
Wamego Community Scholarship Fund
Wamego City Hospital Scholarship Fund
