Personal Information

First Name*

Last Name: *

Phone Number*

Mobile Phone Number

If different than the number above.

Email*

Address 1*

Address 2

City*

State

Region

Zip Code

Country

Class of

Other

I wish to give anonymously.

no yes

Name(s) as you would like to appear in the Annual Giving Report and other public acknowledgements

Gift Information

Other amount

Direct my donation to*

Yes, my employer and/or my spouse's employer matches philanthropic donations.

Company Name

Unsure? To find out if your company has a matching gift policy, call 412-578-7548 or email zaffarym@winchesterthurston.org. The impact of your gift may be doubled or possibly tripled! Some companies match gifts made by retirees and/or spouses.

I would like to honor or remember a teacher, family member, or friend with this gift.

Gift Type

Name

Please notify the following individual(s) of my gift (no dollar amount will be shared)

Name

Would you like to add a greeting?

Greeting

Text will be printed exactly as entered. Please review carefully.

Signature

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