Communities In Schools of Benton Franklin · Online Donation - Communities In Schools Benton-Franklin

Contact Information

Please fill out this information fully so we may thank you properly for your generosity.

Name

*

First Name

Last Name

Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

*

This information is required so we may contact you in case of billing inquiries.

My Gift

I would like to make a donation of . . .

*

$1000

$500

$250

$100

$50

$

Donation Schedule

Check this box if you want your donation to be anonymous.

Is this a tribute gift?

*

No

Yes, in honor of . . .

Yes, in memory of . . .

Name of the person this gift is honoring

Prefix

First Name

Last Name

Suffix

Would you like the honoree to be notified of your tribute gift?

Yes . . .

No

Honoree's Email Address

To whose memory is this gift dedicated?

Prefix

First Name

Last Name

Suffix

May we notify a friend or family member of your memorial gift?

Yes . . .

No

Please notify the following person of my memorial gift...

Prefix

First Name

Last Name

Suffix

Email address of the person to be notified of my gift.

You can make an even bigger impact...

...by checking the box below. When you help cover the processing fees, we can do more with your gift.