Mail in Donation

The Annual Fund for Notre Dame Academy

Please participate in the Annual Fund by June 30th.

Please print this form, fill it out and send it with your donation to the Director of Development, Notre Dame Academy, 425 Salisbury Street, Worcester, MA 01609.

Please do not send cash. Thank you!

My gift is $ ___________________________________

__ Enclosed is my check payable to Notre Dame Academy/Annual Fund.

__ VISA/MC # _______ ________ _______ _______

Name as it appears on your card: __________________________________

Expiration Date ____/____

Name _______________________________________________________________

Address _____________________________________________________________

City/State/Zip__________________________________________________________

Telephone (          ) _____________________ E-Mail __________________________

____ Alumna, Class of ____        ____ Parent, Class of ____           ____ Friend