Annual Holiday Giving Campaign 2018

Your Name*

First Name Last Name

Email*

Confirm Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Affiliation*

Donation Amount*

$2,500 - The gift of a school wide-assembly
$1,000 - The gift of a residency program
$750 - The gift of supplies for our cluster teachers
$500 - The gift of coolness with an air conditioner
$250 - The gift of super fun, new recess equipment
$101 - The gift of school spirit
Other

DO NOT ENTER "$" ONLY ENTER NUMBERS (0-9) IN OTHER BOX ABOVE

If you would like to enter your own amount, please be sure to click "Other" above.

* This is not a gift designation. Your donation will go into the PA’s general fund and be allocated in accordance with the budget that is passed by the PA every year in accordance with the By Laws.

Corporate Matching

Yes, my employer has corporate matching.

If you have questions or need help, please email: contact@pa101.org

To learn about your employer's matching program follow the instructions at http://pa101.org/matching

Preferred Payment*

PayPal/Debit/Credit Card Online
Check by Mail / Backpack
Processed Through Employer

Office Use Only

Annual Holiday Giving Campaign 2018

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