Baby U Donation Form

                                     PLEASE SUPPORT BABY UNIVERSITY!
              100% of Your Tax Deductible Donation Directly Supports Family Education

____Yes, I would like to Adopt a Family for the _____ session of ______.
____Yes, I would like to Adopt ____ Family(ies) for multiple session(s)/year(s) (Circle those that apply)
                                               Session:  1 2 3        1 2 3        1 2 3         1 2 3       1 2 3      1 2 3      1 2 3 
                                                               2016         2017        2018        2019       2020      2021     2022
Total: (Each Family is $1,000/session)          $_______________
This Contribution shall be payable as follows:
$___________ enclosed
$___________ on or before ___________________________________________________ Date(s)
Ask us about gifting of securities or Estate Planning.
Name: ____________________________________________
Address: ________________________________________________
City: ______________________________   State: ____________  Zip Code: ___________
Telephone: ___________________________
Email: ____________________________________
(Will not be sold to telemarketers.  For Baby U use only to forward updated information about your family, year- end tax receipts, etc.).
Please make payments to:
Baby University
860 Orchard St.
Toledo, OH 43609
We will proudly be displaying your name on our web site donor page.
_____Yes, please list the name as: ___________________________________
_____No thanks.

____________________________________           ________________
                         Signature                                                              Date