Every Donation Helps

Donate by Check:  Please print this remittance form, complete and mail it, along with your check payable to Roxbury Weston Programs, Inc., to P.O. Box 241, Weston, MA 02493.

Donor Name(s): ______________________________________________________________

Donation amount:

⬜ $61 (1 student’s van transport for 1 day)     

⬜ $158 (Tuition assistance for a low-income student for 1 week) 

⬜ $306 (1 student’s van transport for 1 week) 

⬜ $427 (Van transport for all Boston students for 1 day)

⬜ $885 (Tuition assistance for a low-income student for 1 month)

⬜ $1,225 (1 student’s van transport for 1 month)         

⬜ $______________

Matching:  Many businesses and corporations match gifts to educational institutions made by employees, retirees, and their families.

⬜ My gift will be matched by ____________________________________ (company name) Contact my matching donor at _____________________________________ (phone or email)

Please provide us with the following information so we can thank you:

Mailing Address: ___________________________________________________________________

Email: ____________________________________________________________________________

We love to know who is supporting us!  Please let us know your connection to the school:

 __________________________________________________________________________________