Be a CIS Playground Hero Donation Form

Sponsor a CIS Brick Paver

Pave the way for a new era on the Columbia Independent School campus!
Name*

First NameLast Name
Email*
A confirmation of your donation will be sent to this address.
4X8 Brick Paver $5008x8 Brick Paver $1,000
What would you like your brick paver to say?
4x8 paver up to 3 lines 15 characters per line/8x8 paver up to 5 lines with 15 characters per line

Total Donation for Brick Paver(s)*

USDEnter Your Donation Amount

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Sponsor a CIS Brick Paver