Donation Form   (Please Check Donation Type)

___ Educational Donations ___ Building Fund

Date:  __________________________

Name:  ________________________________________________________________

Organization/Company Name: _____________________________________________

Address 1: _____________________________________________________________

Address 2: _____________________________________________________________

City: ______________________________ State: _______________Zip: ___________

 

Contact Name 1: ____________________________Contact Phone #: _____________

Contact Name 2: ____________________________Contact Phone # _____________

Contact Email Address: _________________________________________________

Donation Amount:      Check # ________________________________________

       $100.00 

       $500.00

       $1,000.00

       $2,000.00

       $3,000.00

       $5,000.00

       $10,000.00

       Other Amount:  ___________________

Please make check payable to NIAEF, Inc. or Native Indian American Education Foundation, Inc.   

Thank you for your donation.

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