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Donor Information Form

Please submit donor information for the kiosk here:

1.
*

Your name:

2.
*

Is your name listed correctly in the kiosk?

Yes
No
3.

If not, what is the correct listing?

4.
*

What information would you like to have associated with your name in the "More Information" area of the donor listing? Please limit the information to 100 words or less. You do not need to be a member of the PCHS alumni to be listed in the kiosk; all supporters are encouraged to participate.

Suggestions: What is your relationship to the school? If you are a former student, what years did you attend? What was your role in the new campus project? Do you have a special memory about PCHS? Would you like to include a Bible verse that has special meaning to you?

5.
*

Do you have a current or past digital photo that can be included?   (If yes, please e-mail the photo to kiosk@pceagles.org)

Yes   No

Thank you for your information.  You will receive a confirmation e-mail after submitting this form, and the information in the kiosk itself will be updated within the next few days.

* Enter Your Email Address:

Type in the text that you see above:

  

Pella Christian High School
300 Eagle Ln
Pella, IA 50219
Phone: 641.628.4440
Fax: 641.628.3530
office@pceagles.org

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