Honor Educators with Breakfast and/or a Rose

Your donation can help create learning opportunities for students and teachers.



Breakfast donated by The Chapel Hill Restaurant Group/ Squid’s and roses provided by Fresh Market. Please complete the form below and submit:

1
Order TICKETS for Teacher or Staff @ $20 EACH

Teacher/Staff Member's full name:
School:
 

No Tickets have been added.

Ticket Total: $0.00

 

2
Order ROSES for Teacher or Staff @ $5 EACH
Teacher/Staff Member's full name:
School:
 
No roses have been added.
Roses Total: $0.00



3
I would like to donate: $
for a general fund for breakfast tickets and roses to honor as many teachers as possible at:   
4



5
Contact Information
Title:
First Name:
Last Name:
  Enter address, city, state and postal code
as filed with your financial institution
Address:
City:
State:
Postal Code:
Country:
Email:
Phone:
Fax:

6
Payment Information

Credit CardCheck
Card Type:
Credit Card #:
Expiration Date:
CCV:  What's This
   

7
Matching Gift Information

Does your employer have a matching gift program?
If yes, please consider sending us your company's matching gift form.


8
Additional Information





9
Comments



  

 

The Chapel Hill-Carrboro Public School Foundation . PO Box 877 . Carrboro NC 27510 . 919.968.8819