GIVING FORM

Print out the contribution form,
complete the blanks, and mail with your check to:
Paxton-Buckley-Loda Education Foundation
P.O. Box 192
Paxton, Illinois 60957

        The gift is to be used for:

       ___ General

        ___ Advantage . . . PBL

        ___ Other______________________________________

        ___ As a memorial to _____________________________

        Amount Enclosed: __________________________
         Please make checks payable to the PBL Education Foundation

        Name(s): ___________________________________

        Mailing Address:______________________________

        Please contact me about:

        ____ Foundation volunteer opportunities     ____ Planned giving opportunities

        ____ Special designated gift interests         ____ Other:___________________

Your gift is tax deductible as allowed by law.


If you have questions,
please contact PBL Education Foundation at
217-379-4715
pbl@pblfoundation.org