Michael E. Smith Endowment

for Excellence in Education Pledge Form

Your pledge to the Michael E. Smith Endowment for Excellence in Education is one of the most important ways that you can assist the students and teachers of the South Hadley Public School system. Please join in the effort to give students in our community the chance to explore new territories in education.

Name:_________________________________________________

Address:_______________________________________________

City/State/Zip:___________________________________________

Signature:_______________________________________________

Pledge Amount:_____________________________

Amount Paid:_________________ Balance Remaining:__________

Amount to be committed: Annual ____ Over 3 years_____

Over 5 years_____

Would you like a pledge reminder : Annually____ Quarterly_____

Semi-Annually_____

May we acknowledge you as a donor within one of the categories of giving:______ Do you need a matching gift form:_____

Checks should be made payable to the Michael E. Smith Endowment for Excellence In Education and returned to P.O. Box 847, South Hadley, MA 01075-0847

On behalf of the community of South Hadley, the Board of the Michael E. Smith Endowment for Excellence in Education thanks you for your generosity.

Edward J. Ryan, Jr. President Pamela Simpson, Vice President

Thomas Terry, Treasurer Sue Barry

James Carey Michael J. Ciolek, Jr.

Richard Constant Kelli Ryan DiLisio

Jo-Ann Instrum Larry Katz

David LaBrie Richard Marion

Joseph Marois Matthew McDonough

Donal O’Shea John Pettengill

William Ryder Linda Rosskothen

Michael Sobon