high five form - cbai · gi e s a high five ! high-five program participation # 0( ’.1-08’’3...
TRANSCRIPT
Give us a HIgH FIvE!HIGH-FIVE PROGRAM PARTICIPATION
# of employees x $5: _______
# of Directors X $50: _______
TOTAL ________
OTHER
In Addition to or in Lieu of the High Five, our bank is donating:
____________
O Please invoice us.
All donations are 100% tax deductible.
Please make checks payable to the CBAI Foundation for Community Banking.
All donations will be credited to the bank unless otherwise specified.
T H A N K Y O U !Yo u r N a m e :
B a n k :
C i t y :
Ready to High-Five
us now?Make your
tax-deductible check
payable to the
CBAI Foundation
and mail to
901 Community Drive,
Springfield, IL 62703
THANK YOU!