Sponsor a Student
If you would like to enjoy the convenience of automatic recurring payments, simply complete the Credit Card Information section below and sign the form. We will automatically bill your credit card for the amount indicated and your total charges will appear on your monthly credit card statement.
Sponsor Information:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Frequency
*
Onetime
Weekly
Monthly
Quarterly
Annually
Donation
*
prev
next
( X )
USD
Description
Credit Card
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Donor Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: