RECURRING MONTHLY DONATION SIGN-UP FORM

You can now make a recurring donation in monthly payments through PayPal. Please complete the following form to sign up. When you hit the submit button, it will take you to the section to designate your monthly donation. You can unsubscribe at any time:
I wish to make a recurring monthly payment of:
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Does your employer offer matching gifts?
Does your employer offer matching gifts?
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Company Name for Matching Gift
Company Name
Company Name for Matching Gift
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For any recognition please list our names as: (example: The Smith Family, anonymous)
Name for Recognition:
For any recognition please list our names as: (example: The Smith Family, anonymous)
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Student's Name(s):
Student(s) Name (please separate more then one student\'s name with commas)
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Grade:
Grade:
Grade Level
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Your First Name:
Your First Name:
Your First Name
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Your Last Name:
Your Last Name:
Your Last Name:
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Email address:
Email address:
Your Email Address
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Phone Number:
Phone Number:
Your Phone Number
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Street Address:
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Your Street Address
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Zipcode
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City
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