PLEASE ACCEPT THIS DONATION TO THE ALTA FOUNDATION

Amount Enclosed $__________

Name of Donor(s) _____________________________________________

Mailing Address ______________________________________________

______________________________________________________________

City _______________________________ State _____ Zip _________

Phone: Home (___)________________ Office (___)________________

Donation Type:

__ General Fund __ Cox Scholarship __ Student Scholarship

__ Continuing Education __ Spelling Bee __ Other

In Memory Of _________________________________________________

In Honor Of __________________________________________________

Please notify the following of this Donation:

Name: ________________________________________________________

Address: _____________________________________________________

______________________________________________________________

City _______________________________ State _____ Zip _________

My tax deductible gift will be made by:

__ Enclosed Check
__ MasterCard #___________________________ Exp. Date _________

__ Visa #_________________________________ Exp. Date _________

Total Amount $_______________ or Monthly Amount $_____________

Signature ____________________________________________________

Make checks payable to ALTA Foundation

14070 Proton Road, Suite 100, LB 9 
Dallas, TX 75244

All contributions are tax deductible as provided by law and will be promptly acknowledged.