Enclosed is our gift to WEF of

$

(WEF is a 501(c)(3) organization. Your gift should be tax deductable)

From the family of:

(student's name - if more than one then please print out separate applications for each student)

Address:

(e.g. 1 Oak Rd - outside Wellesley list town and zipcode)

Zipcode: 02481         02482

We wish to remain anonymous

Instructions: Fill out the form above by just typing into each field the requested information. Then print the form out (menu item "file" "print..." "Ok"). You may alternately print out this form without filling in fields and then use a pen instead.

Please make your check payable to "Wellesley Education Foundation" and mail it with this form to:

Wellesley Education Foundation
Red Apple Program
P.O. Box 812321
Wellesley, Ma 02482