The Australian Independent Schools USA Foundation www.aisusafoundation.com DONATION FORM DONOR INFORMATION Date .................../ .................. / ................. Name ........................................................................................................................................................................ Address ........................................................................................................................................................................ City & State ............................................................................................ Zip Code ........................................................... Telephone ....................................... Fax .......................................... Mobile ........................................................... Email ........................................................................................................................................................................ Company or Foundation Name (if applicable) ........................................................................................................................... GIFT PARTICULARS I am pleased to enclose a gift of $ .................................... (cash, shares or property) ................................................................ Please make your check payable to The Australian Independent Schools USA Foundation, or please debit my Credit Card. Credit card type q VISA q Mastercard Credit card number ........................ / ...................... / .......................... / ........................ CCV No. ........................... Name on Card ......................................................................................................... Expiry Date ......................... Signature ......................................................................................................... FOUNDATION GRANTS The Australian Independent Schools USA Foundation supports education in the United States and Australia. The institutions listed below have indicated their desire to receive grants from the Foundation. To assist Directors in the awarding of grants you may like to suggest an institution listed below as a recipient. Please note that the Board of the Foundation retains full control over all donated funds and discretion as to their use to ensure that the funds will be used to carry out the Foundation’s charitable activities. q Abbotsleigh Foundation q Bond University q Brisbane Girls Grammar School q Brisbane Grammar School q Canberra Grammar School q Cranbrook School q Geelong Grammar School q The Hutchins School q Knox Grammar q MLC Perth q Moriah College q NIDA q Newington College q Prince Alfred College q SCEGGS Darlinghurst q Scotch College Melbourne q Shore Foundation q St Aloysius’ College q St Ignatius’ College q St Joseph’s College q St Peter’s College q Sydney Boys High School q Wenona School for Girls q Wesley College Victoria q Westbourne Grammar PLANNED GIVING REQUEST q I have included The Australian Independent Schools USA Foundation as a beneficiary in my Will and have nominated: ............................................................. (please choose from one of the institutions listed above) q I am interested in learning more about including The Australian Independent Schools USA Foundation in my Will. PLEASE RETURN THIS GIFT FORM TO: Louisa Teo Secretary/Treasurer The Australian Independent Schools USA Foundation is a 501(c)(3) tax exempt organization. AIS USA Foundation Gifts to the Foundation are tax deductible to the extent allowed by United States law. For tax PO Box 390863 purposes an acknowledgement of your gift will be mailed to you. Cambridge, MA 02139, USA Your generosity to the Foundation is greatly appreciated, thank you. Document last modified: 14 July 2016 .