LEAP for Education · General Donation Form

Donation Information

Gift Amount

*

$50

$100

$250

$500

$1,000

$2,500

$

Donation Schedule

Matching Gift

I intend to ask my employer to match this gift

Check to see if your company has a matching gift program

Please enter the name of your company

Tribute Gift

I would like to dedicate this gift in honor of someone else

Name of person(s) to be honored; contact information as needed.

Memorial Gift

I would like to dedicate this gift in memory of someone else

Name of person(s) to be memorialized; contact information as needed.

Check if gift is anonymous.

Anonymous

Contact Information

Name

*

First Name

Last Name

M.I.

Phone

*

Email

*

Verify Email

*

Employer (or former employer if retired)

Please consider indicating your employer. Your company may have a matching gifts program, even for retirees, and we can help you identify potential opportunities to double your gift's impact.

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

How would you like to be recognized in our donor roll?

e.g. Julie and Juan Perez, The Perez Family, etc. If anonymous, please write "Anonymous."

COMMENTS (e.g. Great Expectations payment - GX Social or Sponsorship)