Celebrating 21 Years

Of

Effective Christ-Centered Education

Donor Selection Response Sheet

December 24, 2003 – February 29, 2004

 Title: Dr., Rev., Mr. Mrs. Ms. (Please Circle One or Write-In)

Donor Name:_______________________________________________________

Mailing Address:____________________________________________________

City or Town:____________________________ State______ Zip ____________

Telephone No._( ______)_______________________________________

                                      Suggested Giving Categories

                                                           1.                   Lamb's Club     $10,000.00 or More

                   2.                   Ram7 s Club     $ 5,000.00 or More

                   3.                   Lion's Club        $ 3,000.00 or More

                   4.                   Bear's Club      $ 1,000.00 or More

                  5.                   Tiger's Club      $ 500.00 or More

                  6.                   Deer's Club      $ 250.00 or More

                   7.                   Elephant's Club $  100.00 or More

                   8.                   Eagle's Club     $   50.00 or More

                                                              9                    Sparrow 's Club 20.00 or More

                                                              10.                 Rainbow's Club $    10.00 or More

I (We) will pay our donation:         A.    - In it's entirety now.

B.   - Now and by February 29, 2004

C.   - BY ________________(Please write-in Date).