Oxford Enrichment Fund
One-time Donation by Credit or Debit Card

Authorization:
I hereby authorize the Berkeley Public Education Foundation to charge my credit/debit card as a tax-deductible contribution to support Oxford Elementary School - Oxford Enrichment Fund.

Payment Information:
Check one: ___ Credit Card ___ Debit Card

Check one: ___ Visa ___ MasterCard

Name on the card: ________________________________________

Billing Address: __________________________________________

Card Number: _____________________________________________

3-digit code on the back of the card: _________

Expiration Date: ___________________

One-time contribution amount: $_______________

Signature of Card holder: ___________________________________________

Date: ________________

Please return this form to the Oxford Office (Principal or Secretary), or send to:
Berkeley Public Education Foundation - Oxford Enrichment Fund
1835 Allston Way
Berkeley, CA 94703

The Berkeley Public Education Foundation is a tax-exempt, 501(c)(3) organization, federal tax identification number 94-2918219.

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Last updated on 1/17/07