Adopt-A-Shop Donation Form

Alumni and Volunteer Information Form

Please fill in as much information as you can.

Are you a Blue Hills graduate? Graduation year Shop

First Name: Maiden Name: Last Name:

Home Address: City/Town: State: Zip:

Phone: Fax: E-Mail:

Would you like to volunteer a couple of hours a month to help with Adopt-A-Shop / Alumni activities?

If you are making a donation to Adopt-A-Shop please continue below. Otherwise please hit the submit button at the bottom.

Shop or Program you would like your donation applied to:

Would you like to make a donation in someone's memory: Name of person:

May we add you to our on-line donors page ? May we use your name in Adopt-A-Shop publicity?

If you are mailing your donation, make your tax deductible donation payable to: The Blue Hills Foundation. In the memo section please write "Adopt-A-Shop / Name of shop or program where you would like your donation applied. You may also choose "General Fund" to be used for programs that need emergency help and administration of Adopt-A-Shop.

Please print this page before hitting submit button below. Mail it along with your check to:

Blue Hills Foundation / Adopt-A-Shop 800 Randolph Street Canton, MA 02021

Comments:

Thank you for your support. Please keep a copy of this from and your cancelled check as your receipt.
The Blue Hills Foundation 501(c)(3), *EIN 04-3022592.

Click submit to send your information. If you would like to donate with a credit card click the button below