Laps for Leadership 2022-23: Employee Match Form

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Thank you for working with your company to secure an employee match in support of Eagle Crest Elementary School's Laps for Leadership. Please complete the following form, so we are able to track your donation. Checks may be mailed to Eagle Crest Elementary School Attn: Eagle Crest PTO 4444 Clover Basin Dr. Longmont, CO 80503. Please email any donation confirmations or questions to the ECES PTO Assistant Treasurer ecptotreasasst@gmail.com.

Full Name *

Email *

Phone Number *

Student(s) Name *

Teacher Name *

Company *

Amount Matched *

Company Contact's Name (in case we have questions regarding the payment) *

Company Contact's Email *

Any additional information?

Submit

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