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Phone
Where are you in the Immaculate Family?
Affiliation*
Alumnus
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Friend of Immaculate High School
If you are an alumnus, in what year did you graduate?
Maiden Name (if alumna)
How much would you like to contribute?
Please select one*
Patrons Club ($100)
Blue Club ($250)
Silver Club ($500)
Mustang Circle ($1,000)
Principal's Circle ($2,500)
President's Circle ($5,000)
Other
Donation Amount
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Would you like your gift to honor someone special?
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No
If this donation is 'In honor of' or 'In memory of' somebody please indicate which and specify below.
In honor of
In memory of
Name of Person
Would you like to leave a testimonial as to why giving to Immaculate is important to you?
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Please provide your testimonial here
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Does your employer have a
Matching Gift
program?
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No
My employer will match my gift in the amount of:
Employer name
Please note: it is the responsibility of the donor to contact his/her employee relations department or company web site to request and fill out matching gift forms. Please mail matching gift forms to the Business Office, Immaculate High School, 73 Southern Boulevard, Danbury, CT 06810. You can call the Business Office for more info at (203) 744-1510 ext. 135.
Would you like to be recognized in Traditions?
I/we prefer to be anonymous.
You may list me/us in published donor lists.
How should your name appear if published? You can also indicate here if you would like to make a gift in honor of another person.
Total Amount
Thank you for your support of Immaculate High School. Your gift ensures that every student is able to live up to his or her full potential, whether in the classroom, on the athletic fields, in the pursuit of the arts or serving the community. You are making a difference in the lives of Immaculate students!
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