E. Rivers Education Foundation · 2023-24 Recurring Credit Card Donation Form

The donation amount is the amount you wish to donate each time.

For example, to donate $500 in monthly payments: Enter $100 in donation amount and select Monthly billing schedule.

Donation Amount

*

$

Donation Schedule

Continue donating until

(mm/dd/yyyy)

Contact Information

Donor Type

*

Donor Name

*

First Name

Last Name

Spouse/Partner Name

First Name

Last Name

Anonymous Donation?

Please list my gift as an anonymous donation.

Donor name(s) as you would like it to appear in publications

*

e.g. Jane Smith, Jane and John Smith, Mr. and Mrs. John Smith, The Smith Family, Ms. Jane Smith, etc.

Donor Email

*

Verify Email

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Confirm Donor Email

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Verify Email

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Matching Gifts

Does your employer provide matching gifts? Check out Double the Donation to see if your employer will match your gift.

Yes! Please contact me to confirm matching information.

Employer/Organization

Student 1 Name

First Name

Last Name

Student 1 Graduation Year

Enter the year your student will graduate from E. Rivers. e.g. Current 5th graders will graduate in 2024; 4th graders in 2025; 3rd graders in 2026; 2nd graders in 2027; 1st graders in 2028; K students in 2029; PK students in 2030.

Student 2 Name

First Name

Last Name

Student 2 Graduation Year

Enter the year your student will graduate from E. Rivers. e.g. Current 5th graders will graduate in 2024; 4th graders in 2025; 3rd graders in 2026; 2nd graders in 2027; 1st graders in 2028; K students in 2029; PK students in 2030.

Student 3 Name

First Name

Last Name

Student 3 Graduation Year

Enter the year your student will graduate from E. Rivers. e.g. Current 5th graders will graduate in 2024; 4th graders in 2025; 3rd graders in 2026; 2nd graders in 2027; 1st graders in 2028; K students in 2029; PK students in 2030.

Student 4 Name

First Name

Last Name

Student 4 Graduation Year

Enter the year your student will graduate from E. Rivers. e.g. Current 5th graders will graduate in 2024; 4th graders in 2025; 3rd graders in 2026; 2nd graders in 2027; 1st graders in 2028; K students in 2029; PK students in 2030.

Comments or questions?

Contact us at lionspride@eriversfoundation.org

E. Rivers Education Foundation is a 501(c)3 notprofit charitable organization.

EIN# 45-0700139