Print and complete the following page.   Donations should be sent (along with this page) to:

Maquoketa Valley Chapter Dollars for Scholars

210 South Street

P.O. Box 186

Delhi, IA 52223-0186

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Checks payable to:    MV Dollars for Scholars

Please apply my contribution to an Endowed Scholarship Fund:

   Maquoketa Valley:  $ _________________

    Earlville Alumni:  $ ___________________

    Delhi Consolidated:  $ _________________

    Other fund - Name: _________________  $ _____________________

or make this a Direct Scholarship ($250 and up) - Name: _______________________  $ _______________________

This donation is in Memory of:  ___________________    or

    in Honor of: _________________________

Donor Name:    _______________________________

Donor Address: ________________________

We recognize these cumulative levels of support:

$5,000 +  Mentor and/or Named Endowment

$1,000 - 4,999     Scholar

$500 - 999     Graduate

$250 - 499    Senior

$100 - 249    Junior

$50 - 99    Sophomores

$25 - 49    Freshman

up to $24   Supporter

Your support at any level is greatly appreciated

and the earnings  from Endowed Funds and Direct Scholarships

will be distributed to the graduates of Maquoketa Valley in the form of scholarships.
 

Thank you !!!!