Donations Sponsorships Payments Form for donation and payments "*" indicates required fields Select Type Donation or Payment*required DONATION FREQUENCY* One Time Donation Monthly Donation Sponsorship Pay Tuition Other Payment Select pre-defined amount or custom*requiredDonation Selection* $25.00 $50.00 $75.00 $100.00 $150.00 $200.00 $300.00 $500 Family Sponsor $1000 Community Sponsor $2500 Business Sponsor $5000 Corporate Sponsor Custom $ Add your custom amount Student Full Name*Name of student tuition payment is for. Other Payment designation*Fill in where you want this payment to be applied to. MessageMessage, questions or additional information you want to give.HiddenDonation Selection* $25.00 $50.00 $75.00 $100.00 $150.00 $200.00 $300.00 $500.00 $1,000.00 Web test By default recurring donations are indefinite. You can set a custom amount of months below.(OPTIONAL) How long would you like to make monthly donations?2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 MonthsBilling Contact InformationName* First Last Business NameSponsorships if you want your company name listed. Email* Phone*Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Review & PaymentFrequency OT Frequency MT SPONSORSHIP Tuition Payment Other Payment Transaction Fee Price: $0.00 AMOUNT TOTAL Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name HiddenRecurring Donation* *After hitting submit, please be patient while the transaction is processing. You will see a thank you message when the transaction is complete.EmailThis field is for validation purposes and should be left unchanged.