Donate to the Educational Foundation, Inc.

I would like to make a contribution in the amount of $____________
to be used for the SSWBN Educational Foundation Scholarship Fund.

Name:

___________________________________

Company:

___________________________________

Address:

___________________________________

City/State/Zip:

___________________________________

Phone:

___________________________________

Email:

___________________________________

Make checks payable to SSWBN Educational Foundation, Inc.
Please print this form and mail to:
PO Box 577, Accord, MA 02018-0577

Thank you!