To make a secure online donation, click Donate Now.
To donate to Agnon by mail, fax, or email, print this form and
Mail to: Agnon School, 26500 Shaker Boulevard, Beachwood, OH 44122
Fax to: 216-464-3229
Fill in and e-mail info to: Lleventhal@agnon.org
Donation Form
I wish to make a donation in the amount of $________.
Name:_______________________________________________________________________
(Indicate how your name should appear in the Annual Report)
__________ I wish my contribution to be anonymous.
Address: _____________________________________________________________________
City, State, Zip: _______________________________________________________________
Daytime phone (in case of questions): (_____) – _____________________________
E-mail: ______________________________________
Payment Method:
____ Check made payable to Agnon School
____ Charge my gift to: ____ Visa ____Master Card ____American Express
Credit Card Number: __________________________________________________
Exp. Date: ____/____ Signature: _______________________________________
Security Code on Back of Card: ___________________
Optional:
This gift is being made
____ In honor of OR ____In memory of
Name: ___________________________________________________
Special occasion to be acknowledged:
___ Birthday ___Anniversary ___Get Well ___Wedding ___Birth of Child
___ Staff Recognition ___Other _________________________________________
Please send an acknowledgement of my gift to:
Name: __________________________________________________________________
Address: ________________________________________________________________
City, State, Zip: _________________________________________________________
Thank you for your generosity and support. As a 501() (3) organization, all contributions are tax deductible to the extent allowed by law.
