PRINTABLE DONATION FORM

Enclosed please find my check - payable to the Wayne High Schools Alumni Association (WHSAA) for the amount indicated.

$100 _____

$50 _____

$25 _____

$ Other _____

Name _______________________________________	Year of Graduation _______________
Address _____________________________________	City/State/Zip ____________________________________
My contribution is (in memory of) or (in honor of) Please circle one	Name ___________________ Year of Graduation _____

Contributions are tax deductible (Exempt under Section 501 (c) (3) of the Internal Revenue Code.)

MAIL TO:
Wayne High Schools Alumni Association (WHSAA)
P.O. Box 703
Wayne, MI 48184