United School Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Registration

Pre-K

$500.00

Grade 1-2

$1,000.00

Grade 3-4

$1,500.00

Grade 5-6

$2,000.00

Choose A Frequency

Recurring Frequency:

Total: $0.00

Gift Designation:

Last Name at Graduation:

Graduation Year (if Alum):

Employer Name:

Matching Gift:

My employer will match my gift.

Donor 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.

I would like to receive additional information via email.

Tribute Information

Tribute Gift Type:

Please select from the list above.

Honoree Title:

Honoree Name:

Please send notice of this gift to

Recipient Title:

Name:

Address:

City:

State:

Zip Code:

Message:

Test Payment Information (enter below)

Name on Card = test
Card Type = VISA
Card Number = 4222222222222 (4 followed by 12 twos)
CSC = 123
Exp Date = 10/15

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *