Florida Retired Educators Association

Contribution Form

Print this form, fill in all information and mail with your check made payable to:

Florida Retired Educators Foundation

10051– 5th Street No. Suite #108

St. Petersburg, FL 33702-2211

Phone: (727) 577-6400 Fax: (727) 577-6445

Date: __________________

I or We wish to contribute $ ___________ to the Florida Retired Educators Foundation, Inc.

Check One:    

    In Memory of ___________________________________________________

    In Honor of _____________________________________________________

    Named Scholarship _________________________________________________________

    Endowment Fund

    A Donation to the Foundation

Please inform the following of this loving tribute:

Name: ____________________________________

Address: __________________________________

City: _____________________ State: _____    Zip: ____________

DONOR INFORMATION

NAME: _______________________________________

ADDRESS: _________________________________________

CITY: ____________________ STATE: ______ ZIP: _______

PHONE NUMBER: ____________________