Bonita Elementary School

2016 Arizona Tax Credit Request

 

 

Name  _____________________________________  Social Security # __________________

 

Address _______________________________________________  City _____________________  Zip__________

 

Phone _________________________________   Fax _____________________

 

I wish to make monthly donations                 (If so, please duplicate this form, or call the district office, 384-3237 or 828-3363, for additional forms).

 

Complete this form and mail to:        

 

Bonita Elementary School District #16

18008 South Fort Grant Rd.

Bonita, Arizona 85643

 

Apply my tax credit to the following school:

 

       Bonita Elementary School      K-8                  Mr. Ed Houser, Superintendent

                                                                                             (928) 828-3363 or (520)384-3237

Apply my tax credit to the following program:

 

       School may designate program use    

 

       Remedial programs

 

       Enrichment programs

 

       Fine Arts

 

       Athletics

 

       Field Trips

 

       Specific department use