John Adams High School
Adult Athletic
Booster Club

South Bend, Indiana
Donation Form
Information is optional, but appreciated to keep you informed of club use of your donation
Print this form and mail to address below
Name/Business  __________________________________________

Address             __________________________________________

                   __________________________________________

Phone  ______________________________

email  _______________________________
check the account to deposit your donation
$______________

$______________

$______________

$______________

$______________
_______ General Fund

_______ General Fund _________________________ (sport)

_______ Booster Club Endowment Fund

_______ Marvin L. Hull Scholarship Fund

_______ Electronic Message Sign
Total donation      $______________
Make checks payable and send to:

John Adams Adult Athletic Booster Club
c/o John Adams High School
808 S. Twyckenham Dr.
South Bend, IN  46615
Your donation is tax deductible.
John Adams Adult Athletic Booster Club is a
501(c)3 not-for-profit organization.
consult your tax advisor