Thrive on $5 Giving Campaign

Thrive on $5 Giving Campaign

Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
District 6 School or Department
Have you given previously, or are you currently giving to the Success Foundation Serving Greeley-Evans Schools?
How would you like to donate?

Donation Amount

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Don't forget to complete this form by pressing Next button below and then Submit button on next screen.

Payroll Deduction - Please choose one of the three payroll deduction options:

I authorize Thrive on $5 payroll deduction of $5 per month from my paycheck each month.

Will you be giving a Monthly or One-Time Payroll Deduction (Custom Amount)? - SELECT ONE
Please list the dollar amount of the Payroll Deduction (Custom Amount)
I authorize the deduction from my paycheck that matches the details above. Please Sign:

How much would you like to donate? An annual donation of $60 makes you an official Thrive on $5 donor!
How will you submit your check?

How much would you like to donate? An annual donation of $60 makes you an official Thrive on $5 donor!
How will you submit your cash?

Thank you for submitting a gift for the Thrive on $5 campaign.

If you have any questions, please reach out to info@d6successfoundation.org
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