PO BOX 2877
 TAMPA, FL 33601-2877
 TOLL-FREE 1-866-HK-CARES

  

CONTRIBUTION FORM
I,  , wish to make a contribution to the Holland & Knight Charitable Foundation (the "Foundation")  in the following manner:

Check:  Enclosed is my contribution in the amount of $.

ONE-TIME Payroll Deduction (for Holland & Knight LLP employees only): 
I authorize the Foundation to deduct $ from my paycheck.

Payroll Deduction (for Holland & Knight LLP employees only): 
I authorize the Foundation to deduct $ from each of my pay checks, commencing , for a total yearly contribution of: $.
 
 UNRESTRICTED CONTRIBUTION
 

 My contribution is an unrestricted gift to be used for the highest priorities of the Foundation.
 
______________________________

Signature (for unrestricted contributions) Date
 REQUEST FOR DESIGNATED CONTRIBUTIONS

  My contribution shall be placed into a fund for the benefit of the following cause(s):
 
  1. Opening Doors for Children Fund.  Amount $.
    (Please state if there is a particular project or office program you wish to support)
  2. Holocaust Remembrance Project Fund.  Amount $.
    Note: All Holocaust Remembrance Project contributions will be used for scholarship awards, Holocaust Museum trips, and educational materials.
  3. Young Native Writers Essay Contest.  Amount $.
  4. Dreamers Scholarship.   Amount $.
  5. Chesterfield Smith Ceremonial Classroom.  Amount $.
  6. New York Firefighter Memorial Wall.  Amount $__________________________.
  7. Other Holland & Knight Charitable Foundation project / program (please name):
  8. Other Charity.  Amount $. 
    Please indicate if you would like your contribution designated for another 501(c)(3) charitable organization.

 

 

___________________________________

Signature (for designated contributions)

Date

Please make checks payable and submit to:  Holland & Knight Charitable Foundation, Inc., P.O. Box 2877, Tampa, FL 33601-2877        1-866-452-2737  (1-866-HK-CARES) (toll-free)
 

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE OF FLORIDA (800) 435-7352.  THE TOLL OUT-OF-FLORIDA NUMBER IS  (850) 413-0840.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE OF FLORIDA.  REGISTRATION NUMBER SC-07612. 100% OF EACH CONTRIBUTION IS RECEIVED BY THE ORGANIZATION AND NONE IS RETAINED .