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Jefferson High School is a non-profit organization

Enclose your tax-deductible contribution with this order form. Make checks payable to Jefferson High School. A receipt will be mailed to you.

Questions should be directed to:

Scott Kibby  319-558-2148        319-398-2149 (fax)

Donations of $300 to $999 will be recognized on almond colored background tiles.

Donations of $1,000 to $2,499 will be recognized on Columbia blue tiles that have been used to construct the "C" and "R" on the Wall of Distinction.

Donations of $2,500 or more will be recognized on cobalt blue tiles that have been used to construct the large "J" in the Wall of Distinction.

Please fill out this order form and indicate how you would like your tile to appear and. mail to:

Name                                                                                                        

Address                                                                                                                        

Home phone                                                                                            

E-mail                                                                                                        

Work phone                                                                                             

Jefferson High School Activities Office

1243 20th St SW Cedar Rapids IA 52404

 

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