Danville Community College Educational Foundation

I would like my investment to support:

Scholarship Name:

If you chose "Scholarship Fund," please enter the name of the scholarship your investment will support.

Other:

Additional Information
Does your employer have a matching gift program?

Yes, I will provide DCC with forms to obtain a matching gift from employer.

I don't know

How did you hear about us?

Are you an Alumni?

Class Year:

If so, please enter class year

Other ways to support Danville Community College

Please check if you would like information on estate or planned giving.

I would like to receive information on life-income gifts.

If you have named Danville Community College in your estate plans, please let us know so that we may thank you.

Additional Comments:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *