Trinity High School

Memorial/Honorarium Donation to Trinity High School

Donation Amount

Please accept my gift: *

Donation in name of: *

Please send an acknowledgement card on my behalf to:

Name:

Address:

City:

State:

Zip Code:

Donor Information

First Name: *

Last Name: *

Affiliation: *

Class Year:

(if applicable)

Billing Address: *

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

Address 2:

Apt./Suite

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Cell Phone:

(include area code)

E-mail: *

A receipt will be e-mailed to this address.

Please send me additional memorial cards.

My company has matching Gifts Program:

Company Name:

Please obtain a matching gift form from your employer.

Thank you for your Memorial/Honorarium Donation to Trinity High School.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *