Richard Montgomery Athletics
Athletic Department Donation Drive
Winter 2015-2016
Please donate at least $40 per student athlete per season
Get $5 off coupon for the Spirit Shack with Each $40 Donated
3 Easy Ways to Donate
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Donate By Mail -Please complete form and mail your donation check payable to:
RMHS Booster Club 250 Richard Montgomery Drive, Rockville, MD 20852
Donate By Website Visit www.RocketAthletics.org to donate and pay. No Need to Use This Form
Donate in Person Complete & bring it to the Spirit shack, your coach, or to Chamy Your donations
are tax-deductible to the extent the law allows. 501c3 Approved EIN 46-5551284
STUDENT ATHLETE INFORMATION
Name ______________________________________
Sport _________________________
Email:
Phone # _______________________
Grade (2015-2016 school year) _________
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PARENT INFORMATION:
Contact 1________________________________________ Preferred Phone # __________________
Email:
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Contact 2 ________________________________________ Preferred Phone # __________________
Email:
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Donation Amount ____________________
Date ____________________
Check # _______________ Cash $ _________________
PayPal In Person Swipe ______________