I would like to help local students through the Barnes County North

Dollars for Scholars Chapter

Name/Business:         _______________________________________________

Address:       _____________________________________________________

City/State:     _____________________________________________________

Phone:         ______________________________________________________

Email:           _____________________________________________________

 

________ Unrestricted - Will be used to fund scholarships and operating expenses

________ Endowment Fund - Interest earned will provide scholarships

________ Named Scholarship - Given in the name of  __________________________________________________________

________ Memorial or Honor Gift - Your gift provided in memory or honor of the person (s) listed below

In memory of _____________________________________________________________________

 

In honor of _____________________________________________________________________               

 

Tax deductible contributions are payable to: 

Barnes County North Dollar for Scholars

9966 21st St. SE

Wimbledon, ND 58492