
|
Name |
Business |
|
Mailing Address |
City |
|
State Zip |
Phone |
|
Please
check one box below to designate how you would like your donation to
be used |
|
Memorial print the name(s) below of those you would like to dedicate with this donation |
Unrestricted |
Scholarship |
Building Fund |
Other |
|
If paying by credit card please
call: |
Please
make your check payable to: Pelican Nest Learning and Resource Center Please mail this form and your check to: Pelican Nest P.O. Box 16004 Baton Rouge, Louisiana 70893 |
Thank you very much
for your support of our vision for eco-green sustainable communities and the education of disadvantaged youth in Baton Rouge, La., and Northern Virginia. We are a non-profit 501(c)(3)education. Your donation is fully tax deductable. |