Donation Form Washington State School Retirees’ Foundation If you are human, leave this field blank. Purpose of donation * I am making a Contribution to help the foundation This is a gift in Honor of (enter name below) This is a gift in Memory of (enter name below) Name and address of contributer Name * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Checkboxes Please check if you would like to receive a "Thank You" card. Name and address of Person to be Notified of this gift: Name Amount of donation * NOTE: (If you would like the person to be notified of this gift, you must include their full address above!) PayPal or Credit Card Payment: reCAPTCHA Submit Click here to download the Foundation Donation Form to include with your personal check. Download Adobe Reader If you do not have the Acrobat Reader please click on the Adobe Reader button above for a free copy.