Complete this form to send your donation to the WSCC Foundation.

If you would prefer to make a donation to the Foundation by sending a check, please mail to:

WSCC Foundation 
3000 North Stiles Road
Scottville, MI 49454

For any questions please email Tasha Dault at tdault@westshore.edu or call at 843-5805.

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Donor Information

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First Name: 

Last Name: 

Donor to be acknowledged if different from above:

Donor name(s) as you would like it to appear in publications:

Would you would like to remain anonymous? 

Address 1: 

Address 2: 

City: 

State: 

Postal Code: 

Home Phone:

Cell Phone:

Work Phone:

Email:

(*By providing an email I authorize WSCC Foundation to send periodic updates and information)

Have you taken a class at WSCC?

Gift Details and Financial Information

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Gift Total Amount $:

I would like my gift to support the following opportunities:

Other opportunity description: 

I would like my gift to be in honor of:

I would like my gift to be in memory of:

Send acknowledgement of honor or memorial gift to:

Full address of acknowledgement of honor or memorial gift recipient:

Type of Card:

Name on Card: 

Card Number: 

Card Expiration Date: 

Card CVN/Security Code: 

Is the billing address for the card same as above?

Address 1: 

Address 2: 

City: 

State/Province/Region: 

Postal Code: