Donor Card

Madison ABC Program, Inc.

In support of Madison ABC and its work providing an educational alternative for minority youth, I (we) enclose our contribution for the current fiscal year (July 2007 – June 2008):

 Friend (up to $25)
 Donor (over $25 to $75)
 Patron (over $75 to $150)
 Benefactor (over $150 to $500)
 ABC Angel (over $500)

 Enclosed is my company’s matching gift form.

Name:

Spouse:

Street:

Town:

State: Zip:

Telephone:

Email:

I would be interested in volunteering in the following areas:

 Fund-Raising                             Academics
     Act II Thrift Shop                         Transportation
             Host Family                                  Community
                     House/Grounds                              Board of Directors

Please make your check payable to:
Madison ABC, Inc. and mail to:
P.O. Box 371, Madison, CT 06443

All Contributions are Tax Deductible

Madison ABC

Helping Talented Youths Reach Their Potential Through Education