Contribution Form ______ "Honors at Entrance" Yes, I will contribute $100, $200, $300 up to $999; I will attend the Scholarship Luncheon for my $500 gift. ______ "Dean's List" Yes, I will contribute between $1,000 up to $2,499;< I accept the invitation to be a distinguished guest at the Scholarship Luncheon & be specially mentioned in the program. ______ "Phi Beta Kappa" Yes, I will contribute $2,500 up to $10,000; I accept the invitation to the Scholarship Luncheon for myself & my guest(s) including presenting the award to the scholarship recipient and special mention in the scholarship program. ______ "Summa Cum Laude" Yes, I have decided to start a 'Perpetual Scholarship' I commit to providing seed money of $ ____________. I will attend the Scholarship Luncheon as an honored guest. NOTE:    Contributions must be received by June 30th to be considered for scholarship awards & disbursement this year. The CCAR Scholarship Foundation Luncheon is scheduled for Friday, July 13th @ Blackhawk Country Club; formal invitation to follow. This form may be emailed to tom@tomhart.com or faxed to (925) 955-1678. Please make checks payable to: CCAR Scholarship Foundation Empire Realty/Tom Hart 380 Diablo Road Danville, CA 94526 YOUR NAME: ___________________________ COMPANY: ________________ This website is proudly sponsored by Grizzly Designs All logos are copyrighted with their respective organizations. copyright 2010