Name:    

Address:    

City/Town:  

State:                    Zip: 

Home Phone:       

Business Phone:  

E-Mail Address:   

My gift of $ is enclosed.    "or"

 
   Will be mailed to St. Anthony School:          ()
   Will be delivered to St. Anthony School: 
 

   Please contact me regarding my gift:   

                                                                    (Brief Description)

Please apply this gift to:    Please Select One Annual Fund Capital/Building Fund Designated Gifts Enrichment Programs Gift-In-Kind Memorial and Honorary Gifts Planned Giving Scholarship Fund Technology Fund Where Most Needed

Is this gift in memory or honor of an individual? Please Select One In Memory of In Honor of

    If "Yes",  Name: 

General Remarks:  

Please contact me regarding this request or other giving opportunities:   ()

Submit Form: 

If you are sending this form by U.S. Mail, please select the printer icon from the tool bar at the top of your screen.  Print the form and mail to:      Saint Anthony School Development Office
                                                                        30 Pleasant Street, Bristol, CT, 06010