High Five Form - CBAI · gi e s a high five ! high-five program participation # 0( ’.1-08’’3...

1
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. THANK YOU! Your Name: Bank: City: 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!

Transcript of High Five Form - CBAI · gi e s a high five ! high-five program participation # 0( ’.1-08’’3...

Page 1: High Five Form - CBAI · gi e s a high five ! high-five program participation # 0( ’.1-08’’3 7 $5: _____ # 0( d+2’%4023 x $50: _____ total _____ other

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!