I would like to donate the following item/service/opportunity to PS11 (please give a detailed description or enclose a certificate for your donation):
________________________________________________________________________________________________________________________________________________
Are there limits on the number of people, time of year, age, expiration dates, etc.?
________________________________________________________________________
How would the donor like to be credited in the catalog (business name; family name)?
Name: _______________________________________________________
Address: ______________________________________________________
Solicited by: ___________________________________________________
Please mail this form to PS11 PTA,
Or fax it to: 212-243-0934 Telephone: 212-496-4520