Donation Form

Please accept my donation payable to CMC3 Foundation in the amount of:

$10_____ $20_____ $50_____ $100_____ Other_______

Name________________________________________

Address______________________________________

City____________________ State_____ Zip__________

College _____________________________________________

Please cut off this section and mail with your donation to:

The CMC3 Foundation
c/o Rebecca Fouquette
Mathematics Department
Santa Rosa Junior College
1501 Mendocino Ave.
Santa Rosa, CA 95401