Donor:             ______________________________________

Company and/or

Individual Name

Address:                   ___________________________________________________

City/State Zip:          ___________________________________________________

Contact/Phone:      _______________________________Phone:______________

Signature:                ___________________________________________________

Item/Service Donated:_______________________________________________________

Description:             ___________________________________________________

Retail Value:            ___________________________________________________

*IMPORTANT

Instructions/Restrictions

Or Blackouts (if any):___________________________________________________

If Gift Certificate Check One:       ____Certificate is enclosed

                                                            ____Present this form to redeem

Transport of Merchandise:          ____Pick Up    ____Delivery    ____Call Donor

Solicitor Information:

Name/Address:         ___________________________________________________

Child Name/Class:    ___________________________________________________

Phone:/Email:            ___________________________________________________

For Information or Assistance, Please contact:

PS Parents’ Association   1458 York Avenue, New York, NY  10021

Tel: 212-879-2181    Fax: 212-879-6003

The PS 158 Parent’s Association Annual Spring Benefit will be held

in the Spring of 2007 at PS 158, 1458 York Avenue, NY, NY  10021.

We expect approximately 350 parents and friends to attend.

Our Spring Benefit has always been our most important fundraising activity and we are hoping that with your help that this year will be bigger than ever!

Proceeds form this event are used to support programs not provided by the Board of Education.  Our efforts and your contributions are essential to maintain these programs.

Your company and donation will be featured in our Benefit Program that is distributed to over 700 families in our school.

Your donation is tax deductible to the fullest extent of the law.  Please keep a copy of your donation form as your receipt.

Our students, teachers and their families thank you for your generous support. 

Should you have any questions or need assistance, please contact us at:

PS 158 Parents’ Association

Tel: 212-879-2181

Email: paoffice158@yahoo.com

*See donation form on reverse side