Horizon Community Learning Center - Arizona School Tax Credit Contribution

Thank you for contributing your Arizona School Tax Credit to Horizon Community Learning Center. Please complete the form below. You will then be prompted to the secure donation form.

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Thank you for taking the time to contact us.

I would like to contribute my Arizona School Tax Credit to Horizon Community Learning Center: Yes   No

* Dollar Amount:

Arizona residents may contribute $400 for a joint filing or $200 for a single filing.

Designation:

Tell Us About Yourself

* Prefix (Mr., Mrs., Ms.):

* First Name:

* Last Name:

Are you a parent of an HCLC student?: Yes   No

If yes, Childrens' Names:

If no, How Did You Hear About HCLC?:

* Street Address:

* City:

* State:

* Zip:

* E-mail:

* Phone:

Employer:

Title/Profession:

Does your company offer a matching gift program?: Yes   No   Don't Know

Additional Comments or Inquiries:

Tell Us About Your Spouse

Prefix (Mr., Mrs., Ms.):

First Name:

Last Name:

Employer:

Title/Profession:

Does your spouse's company offer a matching gift program?: Yes   No   Don't Know

Thank You!

You will now be taken to the PayPal Web site to complete your transaction. Thank you for contributing your Tax Credit to Horizon Community Learning Center.

You will receive a receipt for your tax filing purposes in January 2011. If you have any questions, please call the Community Development Office at (480) 659-3020.


The information submitted will not be published or sold. All information received will only be used internally by HCLC.