KDS DAR School Ball Field Improvement Campaign Donor Information Form Name __________________________________________________________ Society/Organization/Company _______________________________________ Billing Address ___________________________________________________________________________________________________________________________ City, State Zip Code _____________________________________________________________________________________________________________________ Phone _____________________________________________ Email ________________________________________________________________________________ Signature ___________________________________________________________________________________________________________ Donor Information I/We donate a total of $____________________ to the I/We plan to make payments in the form of: □ cash □ BASEBALL □ SOFTBALL Field Improvement Campaign. □ check □ credit card □ other _________________________________________________ If paying with a credit card, please provide the following information: Credit Card Type ______________________________ Exp. Date _______________________ Credit Card Number ________________________________ Authorized Signature ______________________________________________________________________________________________ **If paying by automatic ACH withdrawal, please attach a voided check to this form. □ My Employer will match my gift. Please send Employer’s Matching Gift Form to: KDS DAR School, 6077 Main Street, Grant, AL 35747. For more information, contact KDS Development Director Beth Cagle at 256-728-4236 or [email protected] Engraving Information for Brick Pavers 4” X 8” BRICK PAVER $150 Print one character per block *Characters include letters, punctuation, and spacing 3 lines at up to 20 characters per line* 1 2 3 8” x 8” BRICK PAVER $250 1 2 3 4 5 6 6 lines at up to 20 characters per line* Engraving Information for Donor Wall Print one character per block *Characters include letters, punctuation, and spacing SINGLE 4” x 2” 3 lines at up to 30 characters per line * 4” x 3” 4 lines at up to 23 characters per line * $500 1 2 3 DOUBLE $1,000 1 2 3 4 TRIPLE $5,000 4” x 4” 4 lines at up to 17 characters per line* 8” x 4” 3 lines at up to 28 characters per line* 1 2 3 4 HOME RUN $15,000 1 2 3 GRAND SLAM $35,000 1 2 3 4 5 8” x 8” 5 lines at up to 21 characters per line*
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