Partnership / Donation Form
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1
2Sponsor/Donor Information:
6th ANNUAL
6th ANNUAL
Proceeds from CMN’s
Name __________________________________
Golf Outing will
COLLEGE
COLLEGE
______________________________________
provide scholarships
Phone __________________________________
BENEFIT
BENEFIT
Email __________________________________
for students
Address _________________________________
GOLF
GOLF
pursuing quality
______________________________________
education at
OUTING
City ___________________________________
OUTING
State__________________ Zip ______________
the College of
Payment Method:
Menominee Nation.
__ Invoice me for the amount of $________________
(payment required by May 27, 2016)
__ Check enclosed in the amount of $ _____________
Make check payable to: College of Menominee Nation - Golf
__ Credit Card: VISA
MasterCard
n
n
$_______ total credit authorization
Contact information:
Name on Credit Card _________________________
______________________________________
Susan M. Waukau
College of Menominee Nation
Raising scholarship
Authorization Number ________________________
P.O. Box 1179
dollars for students
______________________________________
Keshena WI 54135
Expiration Date ____________________________
attending Keshena
Email: Swaukau@menominee.edu
Authorizing Signature
Phone: 715 799-5600, ext. 3156
and Green Bay/Oneida
or toll free 800 567-2344, ext. 3156
______________________________________
campuses of the College
Thank you for helping provide scholarships for
of Menominee Nation.
students of the College of Menominee Nation .
Friday, June 10, 2016
Mail this form by May 27, 2016 to:
Thornberry Creek
Susan M. Waukau
at Oneida
College of Menominee Nation
P.O. Box 1179
Keshena WI 54135
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