One moment please...
Contact Information
This gift is being given by an ...
*
Organization/Business
Individual
Organization/Business Name
*
Name (or name of contact, if gift is from a business)
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Are you a parent of a current student?
*
Yes
No
Name of your child
First Name
Last Name
What school does your child attend?
*
select one
Florida Atlantic University
Nova Southeastern University
Lynn University
Palm Beach State College
Broward College
Expected graduation year
*
select one
2023
2024
2025
2026
2027
2028
2029
2030
Gift Information
Amount
*
$36
$180
$360
$500
$1,000
$1,800
$2,500
$5,000
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Anonymous Gift?
Yes
Tribute Gift?
Yes, In HONOR of someone
Yes, In MEMORY of someone
No
Name of the person being Honored/Memorialized
*
First Name
Last Name
Note of dedication (optional)
Tribute Notification
Please notify someone about this gift
Name of person to be notified
*
First Name
Last Name
Email of person to be notified
*
Verify Email
*
Add 3% to my total amount to help cover the payment processing fees