I'll be a benevolent great grandparent and donate $1,000
I'll be a nurturing grandparent and donate $500
I'll be a generous parent and donate $250
I'll be a supportive aunt or uncle and donate $100
I'll be a caring brother or sister and donate $50
I'll be a friendly neighbor and donate $35
I would like to choose an anount comfortable for me to join and support the DTA family. I would like to support DTA in the amount of $__________.

I've enclosed a check in the amount of $ ___________.

I'd like to charge my donation to my: Visa Master Card

My card number is _____________________________________

My Expiration Date is: ___________________

I authorize DTA to bill my credit card in the amount specified above.

Signature _____________________________

Please return this completed form to:
DTA Center for Learning & Growing
196 Bar Harbor Rd.
Trenton, Me 04605

Thank you for your Support!

DTA is a 501(c)3 charitable organization. All contributions are tax deductible.