2020-2021 Annual Membership Drive

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Masterman HSA Welcomes You!

Masterman HSA Membership Information and Voluntary Donation

Please know that the donation to the Membership drive is voluntary this year, however, we request everyone to enter their contact information for this school year.

At this time, if you would like to

* ONLY share your contact information and skip contribution, please choose $0 and select the 'Skip Payment' under Payment Method in the drop-down list at the end to submit only your contact information

* Share your contact information and make a voluntary tax-deductible donation, please choose $ amount and an option to pay using Credit/Debit Card. Venmo payments are not acceptable for our account.

As you provide your contact information, please consider

* Opting for a matching gift to the MM HSA if your Employer has a matching program.

* Getting involved in the MHSA by giving your time and expertise to our non-profit. Select "Volunteer Opportunities" at the end of the membership form.

Please note that the donation information is confidential and will not be shared with any third party or individual. Thank you for supporting the MM HSA.

Please support our work by making a secure 100% tax deductible donation now.

$10

$50

$100

$250

$500

Other

Please choose

- $0 if you are planning to submit ONLY your contact information at this time

- any $ amount you feel comfortable contributing for a tax-deductible contribution

Contact Information

This donation is from a business

First Name*

Last Name*

Address* Street Address, P.O. Box

Address Line 2 Apartment, Suite, Unit, Building, Floor

City*

State/Province*

Zip*

Email*

Phone*

Alternate Parent or Guardian Contact Info

Please enter contact information for the alternate parent/guardian (address only if different)

First Name

Last Name

Address

City

State

Home Phone Number

Mobile Number

Zip

Your Student 1

Please enter your child's info. If you are unsure of your child's section, please select their grade for the 2020-2021 school year.

Student 1 Class Section *

Student 1 First Name *

Student 1 Last Name *

Your Student 2

Please skip if not needed or enter your 2nd child's info. If you are unsure of your child's section, please select their grade for the 2020-2021 school year.

Student 2 Class Section

Student 2 First Name

Student 2 Last Name

Your Student 3

Please skip if not needed or enter your 3rd child's info. If you are unsure of your child's section, please select their grade for the 2020-2021 school year.

Student 3 Class Section

Student 3 First Name

Student 3 Last Name

Masterman Alum Info

Alumni Name and Graduation Year

Employer Match Gift

Please consider making a match gift to the MM HSA.

My employer can match this gift.

I would like information about making a planned gift

Sharing of Information within the Masterman Community

Your information is important to us. Your information is used only for school specific communication.

School Directory Permission: Should we include your contact information in the Masterman School Directory that is solely for the use of Masterman students, family and staff, and will not be shared outside the Masterman School community? *

Annual Email List Permission: Should we include you in the weekly MHSA newsletter and all other MHSA generated emails? *

VOLUNTEER OPPORTUNITIES

Can you help Masterman in 2020-2021? Please Get Involved!

Please contact me about volunteer opportunities for the MHSA committees.

Payment Information

Select a Payment Method

Please ignore if you are opting to skip payment this year.

Card Number

Expiration Date

CVC

Name on Card

Offset Credit Card Processing Fees?