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Donor Details

Required Information

*Title (Mr., Ms., etc.)

*First Name
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*Last Name

*Email Address
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Additional Information

Middle Name

Maiden Name


Phone Number

Address Information



State Zipcode


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Your Class Year

Your Relationship to School

Gift Information

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*Gift Amount

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Donation Details

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Matching Gift Information

My Gift will be matched by:

Please contact your company's human resources department for information on how to take advantage of a corporate matching gift.

Kindly send your matching gift form to:
The Harley School
Advancement Office
1981 Clover Street
Rochester, NY 14618


Include any special instructions here (i.e. anonymous gift):

I have included or plan to include The Harley School in my will.

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