Scholarship – Donation

Scholarship Donation Form

Please complete the information below, PRINT the page to include with your check and be sure then to click SUBMIT. Thank you.

First name

Middle Initial

Last name

Name to be shown on Donor list

Street address

Apt, floor, suite, etc.

City

State

Zip Code

Email address

Phone

Select Frequency
One Time DonationAnnual Commitment

Thank you for your generous tax deductible contribution. Please make your check payable to:

The JPVanderHorst Family Foundation and mail to:

Jerome & Janet VanderHorst / Penn Global Scholarship
℅
1100 Augusta Falls Way
Naples, FL 34119

Email contract: Vanderhorstscholarship@gmail.com

Please be aware that any figures provided are relevant only to the individual agent and specific time period and should not be construed as indicative of average earnings for any agent. Actual earnings may differ and are influenced by various factors, including expenses that an individual agent may choose to incur. This information is intended solely for agent use and cannot be disseminated or exhibited to the public, nor can it be utilized in any form of consumer or recruiting solicitation without prior express written consent from PGM.

SCHOLARSHIP - DONATION

Scholarship Donation Form