Mail to:
ABSAF, PO Box 662
Acton, MA 01720

Name: ________________________________________

Address: _______________________________________

Phone: _________________________________________

Email: _________________________________________

Contribution:

$25	$150*
$50	$200
$100	Other: $________

• Don't forget to check with your employer regarding their matching gift program.
• The amount of your contribution, less any benefit you derive from the use of the complimentary pass, may be tax deductible to you. Please consult your tax advisor.

[ ] My Check is enclosed payable to "ABSAF"

[ ] Please charge my donation to:

[ ] Master Card
[ ] Visa

Card # _______________________________

Exp. Date: ______ / _______

CID: ______________ (The 3-digit CID number is on the back of your credit card, usually located in the signature strip and preceded by a 4-digit number.)

Signature: _______________________________

*Donors of $150 or more will receive a complimentary family admission pass, good for free admission to many extracurricular events sponsored by AB Regional Schools during the current academic school year.
Note: Credit card charges are processed through A-B Community Ed