Donation to New Mexico Magazine to support Subscriptions for

Donation to New Mexico Magazine to support
Subscriptions for Students
Please find my enclosed donation of $
Name:
Address:
City/State/Zip:
Phone Number:
Donor type:
Email Address:
Corporation
Non-Profit
Individual
Other
I donate these funds to support Subscriptions for Students. These funds may only be used for the purpose of providing
subscriptions to students statewide. Funds may go to support the expenses directly associated with the implementation of the program, including but not limited to the printing and shipping of magazines to classrooms throughout the
state, and/or administrative costs related to the program. Contributions are tax deductible.
My donation may be used to fund any classroom within the state of New Mexico.
I want my donation to assist the specific New Mexico school or classroom designated below.
School Name:
Phone Number:
Teacher or Classroom (optional):
Address:
City/State/Zip:
Signature:
Approximate cost for a 30 student classroom to receive 8 monthly
issues is $250, however any amount is greatly appreciated.
On behalf of the New Mexico Magazine’s Subscriptions for
Students program, we thank you for your generous contribution.
For more information, please contact Kurt Coey at
[email protected] or (505) 827-6387
Please mail this form to:
New Mexico Magazine
Attn: Subscriptions for Students
495 Old Santa Fe Trail
Lew Wallace Building
Santa Fe, NM 87501
Date: