Colorado Aerospace Education Foundation
Donor/Contributor Form
Lance P. Sijan Chapter

Name:
 ___________________________________
Grade:
 ___________________________________
Date of Birth:
 ___________________________________
Street Address:
 ___________________________________
City:
 ___________________________________
State:
 ___________________________________
ZIP+4:
 _______ - ______
Chapter Affiliation:
 Lance P. Sijan
Email Address:
 ___________________________________
Phone:
 ___________________________________
Fax:
 ___________________________________

Level of Tax Deductible CAEF Contribution/Donation Donation
entitles you to receive COAFA/CAEF Newsletter For 2000 only

Original Charter Member: $50 and Historical Listing ______________
Original Founder Member: $60 and Historical Listing ______________
Founder's Lifetime Membership: $100
(no annual donations)		 ______________

Annual Donation/Contribution Team Levels

Student Team:
$3 __________
(3 Years: $7.50
 ___________)
Blue Team:
$5 __________
(3 Years: $12.50
___________)
Silver Team:
$10 _________
(3 Years: $25.00
 ___________)
Gold Team:
$20 _________
(3 Years: $50.00
___________)
Corporate Team:
$50 _________
(3 Years: $125.00
 ___________)
Special Scholarship Donation:
$ _______________________

AFA Member: _____Yes; ______ No Chapter: Sijan Chapter

Profession
Job Function
______ USAF ______ Management
______ NASA ______ Engineering
______ US Gov. ______ Operations
______ Aerospace ______ Professional
______ Education ______ Teacher
______ Other ______ Other

Signature:___________________________________ Date:________________

Colorado AEF is a Colorado nonprofit organization, affiliated with the Colorado Air Force Association (AFA). It is open to all persons and corporations whose desire is to educate the general public about air and space power and to provide funding for: grants, scholarships, space related events, secondary educators training in aerospace and youth adventures in aerospace.

Make your check payable to: Colorado AEF
Mail to: P.O. Box 200693, Denver, CO 80220-0693

 
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Last Updated on Wed, February 27, 2008 2:46 AM
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