Donations

Give The Gift of Opportunity

Your generosity helps us serve our 150 Norwalk students and we could not do this without your help.

Your gift can support Horizons in many ways:

$10,000 – STEM, Art, & Music Classes

$5,000 – Sponsors One Student

$2,500 – College Tours & Testing Prep

$1,000 – Social Emotional Learning Activities

$500 – Fun & Educational Field Trips

$250 – Classroom Books & Supplies

$100 – Support Swimming & Water Safety Classes

$50 – A Week Of Daily Snacks For One Grade 

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Donor Information:

(* denotes required fields)

First Name *	Last Name *
Address *	Address 2
City *	State * Zip *
Country *
Phone *	Email *

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Recognition

Please indicate how you would like your name(s) to appear in our Donor Listings.

Display Name(s)

I would like to remain anonymous

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Credit Card Information:

Donation Amount: *	(in US dollars)
Please debit my credit card: *	Annually   Quarterly   Monthly   One-time Gift
Card Type: *	American Express Discover Master Card Visa
Card Number: *
Name on Card: *
Verification #: * ?
Expiration Date: *

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Matching Gifts?

Please indicate whether your employer or your spouse's employer will match your gift.

	Yours	Spouse	Org. Name(s)
Yes, matching form will be sent later
No, matching not available
Please mail your matching gift form to:	Renee Rosenbluh Executive Director Horizons Norwalk Community College PO Box 244 Norwalk, CT 06853 Phone: 203.851.3421 Email: rrosenbluh@horizonsncc.org

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In Honor / Memory of:

I would like this gift to be in Honor / Memory of:

Name(s):
	In Honor   In Memory
Please send an acknowledgment of my gift to:
Name
Address:

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