Please print and mail this form to: 

 

Montessori School of Syracuse

155 Waldorf Parkway

Syracuse, NY 13224

 

Yes, I want to support the Montessori School of Syracuse!

 

I would like to make a gift of:

 

q   $50

q   $100

q   $250

q   Other________

 

 

q   I have enclosed a check payable to the Montessori School of Syracuse

q   Please charge my credit card for the entire amount

q   I would like to divide my gift into three monthly payments, please charge my credit card.

 

Name as it should appear on acknowledgements:______________________________

 

 

Credit Card Information:_________________________________________

 

Expiration Date:__/__    Security Code:_____ Circle one:  VISA/Mastercard

 

 

Authorized Signature:__________________________________

 

Email Address:________________________________________

 

 

Thank you for your gift, it ensures our future.