OASN/OPA Donation Form

Please use this form to make a tax deductible donation to Ocala Preparatory Academy, a subsidiary of OASN, a 501(c)(3) non profit organization. #CH39857

Your Name*

First NameLast Name

If you wish to remain anonymous or wish to make a donation on behalf of multiple students, please list this information here:

E-mail*

example@example.com

Phone Number (if you would like to speak with our staff)

What would you like your donation to be used for:

Staff/Student Incentives (holiday parties, staff Christmas incentives, pizza parties, other misc. parties or Incentives for students/staff)Unrestricted Donation (can be used for whatever will benefit the organization)

If you are making this donation on behalf of a student (, please list this information here:

First NameLast Name

Please feel free to list any additional information here (for example, if you are making a donation to offset tuition monies owed for a student-list their name here but if you are donating for a party or staff incentive the name of student does not need to be listed here):

Donation Amount (enter dollar amount you wish to donate)

USDThank you for your tax deductible donation (ENTER THE AMOUNT YOU WOULD LIKE TO DONATE).

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

Please Initial below that you understand that any donation made through this form will not be credited to any student's school account. Donations made through this form will be used for for staff/student incentives or will be considered an unrestricted donation. *