Nebraska Cooperative Council Education Foundation

Donor Gift/Contribution Form

This form is designed to be saved and completed on your computer and then printed.

Enclosed is my contribution of $

If applicable, my contribution is:

in memory of

in honor of

Donor Information:

Name:

Address:

City/State/Zip:

Phone:

Please send a letter of acknowledgement for my gift to:

Name:

Address:

City/State/Zip:

Phone:

MAIL THE COMPLETED FORM WITH YOUR CHECK TO:

Check payable to:	Nebraska Cooperative Council Education Foundation

Mail to:	134 South 13th St., Suite 503

Lincoln, NE 68508-1901

The NCC Education Foundation is a 501(c)(3) organization under the Internal Revenue Code.

Nebraska Cooperative Council Education Foundation

Administrator

2006-10-24

Nebraska Cooperative Council