To make your tax deductible donation (tax ID # 26-4343929) to ReImagine Newton, please complete this form and return to, PO Box 1586, Covington, GA 30015.

If you’d like to set-up a recurring payment to ReImagine Newton, please fill out the bottom portion of this form ONLY. 

Your full Name:_______________________________________________________

Address:_____________________________________________________________

City, State, Zip:________________________________________________________

Best phone number to reach you:__________________________________________

I choose to support ReImagine Newton through:

_____ $5,000 Superintendent’s Level

_____ $2,500 Principal’s Level

_____ $1,000 Teacher’s Level

_____ $   500 Supporter Level

_____ $   250 Sponsor Level

_____ Other Amount

_____ I’d like to support ReImagine Newton with volunteer time

Recurring credit card payments ONLY:

___ Visa     ___ Mastercard     ___ American Express

Credit Card Number:__________________________

Name on card:_______________________________

Expiration date:______________________________

Security code (on back of card):_________________

Please charge my credit card every _____ months, in the amount of $____________.  This will be a total contribution of $_______________.

___ If you’d prefer to be an anonymous donor, please check here.

If you have questions or comments about our organization, we may be reached at 770.786.4390, Bob Stansfield.