National Ability Center

1

Brand* This field is required.Enter the brand of the gift card

ex: Best Buy, Home Depot, Walmart

2

Value* This field is required.Enter the value of the gift card. If unknown, please provide an estimate. * Minimum value $10

ex: 100., 27.55

3

Number* This field is required.Enter the gift card number (or code). Please enter numbers and letters only. Do not include spaces or hyphens.

ex: 6321 3456 8765 7890 (or X4WZ HJJ4 8Y3R Q5PN)

4

PINEnter the gift card PIN, which can range from 3 to 8 digits. Leave the field blank if there is no PIN.

5

Can we contact you?* This field is required.If there is an error in the information provided and we cannot verify the gift card information, can we contact you via email?

YESNO

6

Email* This field is required.You have permitted us to contact you if there is a problem with the submitted gift card information. We will only contact you IF there is a problem. Please provide a valid email address.

example@example.com

7

Please review the information entered on the next screen and make changes if necessary before completing your donation.

(Don't forget to click SUBMIT.)

Thank you for your donation!

8

Please verify that you are human* This field is required.