Wake County Smart Start · Donation Form

Donation Information

Amount

*

$1,000

$500

$100

$50

$

Donation Schedule

Donor Information

Donor Name (or Contact Name if Donating on Behalf of an Organization)

*

Prefix

First Name

Last Name

Suffix

Is this gift on behalf an organization or group?

Yes

No

Name of Organization

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone

*

Anonymous Gift?

Please do not display my name publicly. I would like to remain anonymous.

Matching Gifts?

Yes, my employer offers matching gifts

Name of Employer

Stay Informed! Please add me to the following news lists:

(Your information will NOT be shared with any party outside this organization)

Early Childhood News (monthly agency news and topical issues affecting young children)

Building Blocks (monthly tips and advice on early learning for families and early educators)

Tribute Gifts

Is this gift in honor of somone?

No

Yes, in honor of someone

Yes, in memory of someone

Name of person being Honored or Memorialized

*

First Name

Last Name

Note of Dedication (optional)

Please include contact information if you would like us to notify the honoree.

Please notify someone (other than myself) about this gift

No

Yes by Email

Yes, by Postal Mail

Name of person to be notified about my gift

*

First Name

Last Name

Address of person to be notified about this gift

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email of person to be notified about this gift

*

Verify Email

*

The Enter Payment Information button below will take you to Stripe to process the donation. If you are setting up a recurring donation, you will need a PayPal account. You can cancel the recurring donation at any time through your PayPal account. Wake County Smart Start does not have access to recurring donations since they will be handled through your PayPal account.