Lynn Hispanic Scholarship Fund, Inc.
Non Profit Organization
P.O. Box 8280 Lynn MA 01904
Telephone (781) 599-7375 (781) 632-2908
Email: lynnscholarship@yahoo.com
Donation Date:
_______________________________________________________________________________________________
Name:
_______________________________________________________________________________________________
Address:
_______________________________________________________________________________________________
City, State, Zip:
______________________________________________________________________________________________
Phone:
______________________________________________________________________________________________
E-Mail:
_______________________________________________________________________________________________
Please check one or more of the following:
❑ I WOULD LIKE TO DONATE ENCLOSED for $ ________________
❑ CASH ❑ GIFT CARD ❑ GIFT CERTIFICATE
❑ CHECK ENCLOSED for $ ________________
Payable to “LHS Fund Inc.” by Check # ___________________________
YES, I want to take a bite out of my taxes and make a100% tax-deductible donation to The Shark Fund.
IS THIS GIFT IN HONOR _______________________________________
MEMORY OF SOMEONE______________________________________PLEASE MAIL THIS FORM WITH
YOUR CONTRIBUTION TO:
❑ Please send a card in acknowledgment Lynn Hispanic Scholarship Fund, Inc.
of my gift to: P.O. BOX 8280 LYNN, MA 01904
Name: ______________________________ TELEPHONE (781) 599-7375
Address: ____________________________ NON-PROFIT ORGANIZATION -
___________________________________ lynnscholarship@yahoo.com
❑ PLEASE CONTACT ME. I INTERESTED IN BEING PART OF THE LHS FUND.ATION