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NAME: ____________________________
ADDRESS: __________________________
TELEPHONE: ________________________

My employee matches contributions.

Name of employer:
___________________________________

PLEASE ACCEPT THIS GIFT OF $ _______________________
for the use of the Surry Community College Foundation.

My gift is to be used as:

[]Specific Scholarship: (Please remember to include this in the memo section of your check)
   Ann Honeycutt Memorial Scholarship: Criteria – SCC Women’s Softball Team Member

   This scholarship was set up by the family of Ann Honeycutt in her memory and is set aside for an upcoming or existing softball team member.  You can donate to this scholarship anytime throughout the year and your donation is tax deductible.

A donation can be given directly to Head Coach Amber Reid or can be mailed to the address of:
Surry Community College Foundation
Surry Community College
630 S. Main Street
Dobson, NC 27017