United School Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Matching Gift Donation Form

Million Dollar Match

Goal: $1,000,000

Received: $750,000

$750,000

Thank you for choosing to participate in the United School Foundation Million Dollar Matching Challenge!

An anonymous donor has agreed to match your donation today dollar-for-dollar. Your donation will help transform the lives of children living in poverty by helping them receive a quality education.

100% of all donations to the Challenge will go directly to students in the form of tuition awards.

$20

$50

$100

$250

$500

$1,000

Choose Another Amount:

Total: $0.00

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.

Additional Information

My employer will match my gift.

Employer Name:

Comments/Questions:

Test Payment Information (enter below)

Name on Card = test
Card Type = VISA
Card Number = 4222222222222 (4 followed by 12 twos)
CSC = 123
Exp Date = 10/20

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *