Please use one of the forms below for donation or pledge
Please print this page, complete the appropriate form, and then mail to:
Open Fields School
37 Academy Road
Thetford, Vermont 05074
Checks should be made out to "Open Fields School - Trina Schart Hyman Memorial Endowment Fund". Contributions are fully tax-deductible to the extent provided by law. All contributions will be acknowledged promptly, and we will send all contributors a final report on the campaign.
Trina Schart Hyman Memorial Endowment Fund
OPEN FIELDS SCHOOL
| Donor Information | |
| Name(s): | __________________________________________________________________ |
| (If joint donation, enter both names here and provide two signatures below.) | |
| Address: | __________________________________________________________________ |
| City: | _________________________ |
| State: | _________________________ |
| Zip Code: | _________________________ |
| Home phone: | _________________________ |
| Work phone: | __________________________ |
| E-mail address | __________________________ |
I, We, _______________________ ("Donors"), individually/jointly, and severally make the enclosed contribution of $__________ to support the Trina Schart Hyman Memorial Endowment Fund at the Open Fields School in Thetford, VT.
___ I/We prefer that this gift remains anonymous.
___ I/We expect that this gift will be matched through the corporate matching program of ___________________.
Absent instruction otherwise, Donor(s) authorizes the Open Fields School to list his/her name in any of its publications or press releases.
Pledge of Donor Support
I, We, _______________________ ("Donors"), individually/jointly, and severally make the following commitment to support the Trina Schart Hyman Memorial Endowment Fund at the Open Fields School in Thetford, VT through a pledge of $__________. This pledge will be fulfilled as follows in the calendar years (ending December 31):
| 2007 $__________ | 2008 $__________ | 2009 $__________ |
| ______________________________ | _________________________ |
| Donor name | Date |
| ______________________________ | _________________________ |
| Donor name | Date |
| ______________________________ | _________________________ |
| Jean K. Aull, Director | Date |