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Students

Parents

Faculty

Alumni

2012-2013 St. Michael Campaign for Excellence

*First Name

*Last Name

*Address

*City

*State

*Zip

*Phone Number

*Email Address

Student Name

Student Grade

Freshman

Sophomore

Junior

Senior

* Donation Level

St. Michael Society ($2,000 or more)

Warrior ($1,000-$1,999)

Legacy ($500-$999)

Sword ($300-$499)

Shield ($299 or less)

Prayer (I will keep the mission and all that support St. Michael High in my prayers over the next year)

*Total Donation Amount

* I will fufill my commitment to SMHS by:

One Time Payment

Monthly Payment

Semi-Annual Payment

Quarterly Payment

Credit Card Number

Expiration Date

CVV Code

* My Employer Matches Gifts

Yes

Name of Employer

Contact Number

* I would like my donation to be:

Published

Anonymous

I would like information on including SMHS in my estate plans:

Yes

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17521 Monitor Avenue

Baton Rouge, LA 70817

Office 225-753-9782

Fax 225-753-0605

INFORMATION@SMHSBR.ORG

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St. Michael The Archangel High School does not discriminate on the basis of race, color, sex, national or ethnic origin in its educational programs, activities, or employment policies.