2017 Contribution Form

General Federation of Women's Clubs of Massachusetts Lynne M. Stader, President

Club ______Person Completing Form ______Email ______Phone______Club Contribution Deadline is January 30, 2018 to be credited to the 2017 fiscal year Send one check for the total donations recorded on these two pages payable to: GFWC of Massachusetts P.O. Box 679, Sudbury MA 01776-0679 ______

GFWC of Massachusetts State Focus Areas: GFWC of Massachusetts President’s Project  MassSTAR – High School Leadership Conference $______(cost to sponsor one student is $300.00 ~ any donation is appreciated)  Disaster Relief $______(to help federation sisters during times of disaster)  Endowment Fund $______(used for GFWC of MA administrative expenses ~ for running our state federation)  Headquarters Fund (maintenance) $______ Memorial Forest Fund (upkeep and maintenance) $______

GFWC of Massachusetts Scholarships (funded only by club contributions)  “Pennies for Art” Scholarship $______ “Nickels for Notes” Scholarship $______ Communications Disorders/Speech Therapy $______ International Study Abroad Scholarship $______

SUB-TOTAL CONTRIBUTIONS $______GFWC Partnerships - or National Emphasis Areas GFWC Domestic Violence Awareness and Prevention Signature Program $______GFWC Success for Survivor’s Scholarship Domestic Violence Awareness and Prevention Signature Program $______Prevent Child Abuse America - Domestic Violence Awareness and Prevention Signature Program $______Canine Companions for Independence - Home Life $______Easter Seals - Home Life $______Heifer Project - International Outreach $______March of Dimes - Advocates for Children $______Operation Smile - International Outreach $______Sew Much Comfort - Public Issues $______Shot @ Life (Immunization) - International Outreach $______St. Jude Children’s Research Hospitals - Advocates for Children $______UNICEF - International Outreach $______USO (Active Military) - Public Issues $______Women’s History & Resource Center (WHRC) @ GFWC Headquarters, Washington D.C. $______

SUB-TOTAL CONTRIBUTIONS $______SUB-TOTAL CONTRIBUTIONS (page 1) $______

TOTAL CONTRIBUTIONS FOR 2017 (check amount) $______

If you have any questions, please contact GFWC of MA Treasurer, T Jablanski: [email protected] 508.769.9008