HHS Class of 1965 Scholarship Fund

Building a Legacy Through Scholarships to Worthy Students

Name

Multiple Checkboxes

Option A - I have contributed to the HHS Class of 1965 Fund.

Option B - I want to give my support to our Class Fund with a one-time Gift or Pledge in the amount of $_____

Option C - I want to pledge a gift of $____ to be paid in installments of $____over _____ years. This pledge shall be terminated effective the date of my death, thereby extinguishing my pledge for that year and remaining years. I/we understand this is not a legally binding document, but that it does indicate our good faith intent to make this contribution to the HHS Class of 1965 Scholarship Fund and to fulfill my pledge.

Option D - I want to make a one-time contribution to our Class Fund upon my death through my will or trust. I commit to having the necessary document changes in place for this bequest by ___________________

Option E - Through a combination of one time gift, multi-year pledge, and bequest, I agree to contribute a total of $______ to the Hutchinson High School Class of 1965 Scholarship Fund with any unpaid balance coming from my estate/trust.

Option F - I will include in my obituary a suggestion of a choice for a donation in lieu of flowers to the HHS Class of 1965 Scholarship Fund c/o Hutchinson Community College Endowment Association, 1300 N. Plum, Hutchinson, KS 67501.

Option B amount

Option C amount total

Option C single payment

Option C years

Option D date

Option E amount

My approval of This Plan (above) is Attested By My Signature:

Date

My Name (please Include Maiden Name if applicable)

Spouse's Name (if applicable)(Please include Maiden Name if former HHS Student)

Mailing Address

Home Phone

Cell Phone

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Email address

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I wish my gift(s) to remain anonymous

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Note: Please fill out the fields marked with an asterisk.

Make checks payable to : Hutchinson Community College Endowment Association, 1300 N. Plum, Hutchinson, KS 67502. You can also call the HCCEA office Monday-Friday, 8:00 am to 5:00 pm, at 620.665.3565 and pay by credit card. This/these HCCEA donation(s) are fully tax deductible.

HHS Class of 1965 Scholarship Fund

Building a Legacy Through Scholarships to Worthy Students

Thank you for your participation and your generosity!