Los Feliz Charter School for the Arts
www.losfelizarts.org
1553 Cassil Place
Los Angeles, Ca 90028
(323) 656-2810 p (323) 656-2812 f
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LFCSA Capital Campaign Contribution Form
2009-2010
Student Name(s) ________________________________________________
Donor Name(s) _________________________________________________
Address _____________________________City_____________ Zip______
Phone number _________________________________
Total Gift Amount Pledged: $___________
Total Gift Amount to be Paid Now: $___________
Or, Monthly Payments of: $___________
I will to pay by check: _______
I wish to pay by credit card: _______
Master card or Visa#___________________________________________
Expiration Date _____________ Security code (on back of card)__________
Signature: _______________________________
Thank you for making creative public education your priority!
Lfcsa is a 501c3 not for profit corporation. All donations are voluntary and tax-deductible.
tax id #20-3001046.
Please send your generous donation to:
LFCSA Capital Campaign
1553 Cassil Place,
Los Angeles, CA 90028
