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Please Support Jefferson State Community College’s

Chloe Collar Memorial

Pathways to Scholarships

Phi Theta Kappa, the honor society of Jefferson State Community College, invites you to participate in our Pathways to Scholarship project.  We are building “Pathways to Scholarship Plazas” at our Jefferson and Shelby campuses.  Funds raised from this project will be used to establish scholarships for Jefferson State’s New Options program, which assists non-traditional female students who are returning to school.

By participating in this project, your name or your organization’s name will be displayed on an individual brick in our scholarship plaza.  Your brick will show support for the college and the community.  Prices range to fit any budget.  Don’t miss out on this opportunity to support scholarships for worthy students in your community.

Brick Prices

 8 x 8 Bricks

Gold Level--$500.00 Donation—Includes up to six lines of text or logo and three lines of text*

Silver Level--$400.00 Donation—Includes up to four lines of text or logo and two lines of text *

Bronze Level-$350.00 Donation—Includes up to three lines of text*

4 x 8 Bricks

Gold Level--$250 Donation—Includes up to three lines of text*

Silver Level--$150.00 Donation—Includes up to two lines of text*

Bronze Level--$50.00 Donation—Includes one line of text*

* 18 character maximum per line of text.

This project is dedicated in loving memory to

Chloe Michelle Collar

 November 19, 2006—June 23, 2007

* Your Name
Your Company If you represent a company or organization, enter their name.
* Street Address
* City
* State/Province	<Select One> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam Puerto Rico Armed Forces Americas (AA) Armed Forces Outside Americas (AE) Armed Forces Pacific (AP) New Brunswick Newfoundland Alberta Northwest Territories Nova Scotia Prince Edward Island Quebec Saskatchewan Ontario Yukon Territory Manitoba British Columbia Other None/Not Applicable
* ZIP Code/Postal Code
* Phone Number
Fax Number
* E-Mail Address
* Brick Size	<Select One> Gold Level - 8x8 - $500 Silver Level - 8x8 - $400 Bronze Level - 8x8 - $350 Gold Level - 4x8 - $250 Silver Level - 4x8 - $150 Bronze Level - 4x8 - $50
Would you like to receive a Donor Certificate?	<Select One> Yes No Add ($5.00)
Would you like to receive a Donor Brick?	<Select One> Yes No Add ($25 - 4x8, $30 - 8x8)
* Donation Amount	$
Press the Continue button to enter the customized text that will be engraved on your bricks.

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