Donation Form

Are you IN?

If we want our children to thrive in outstanding schools, our community needs to band together and augment the inadequate funding provided by the state.

While our suggested donation is $1,850 per student, we greatly appreciate any amount that is meaningful to your family. Our goal is for 100% of Lafayette school families to show that they value education and participate. Every dollar has an impact!

Annual Giving Campaign

$1,850: suggested donation for 1 student
$3,700: suggested donation for 2 students
$5,500: suggested donation for 3 students
$6,000: Major Donor (includes early ticket access and special event invitations)
$7,400: suggested donation for 4 students
Other

Monthly Gift

Contact Information

First Name

Last Name

Spouse

What are you responding to?

Reason (if you selected Other)

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone #1

Name #1

Cell Phone #2

Name #2

Email 2

Donor Type

Donor Acknowledgement- Please indicate how you would like your donation acknowledged in LPIE Public Donor Lists - e.g. "Tim and Judy Smith", "Smith Family", or "Anonymous" if you do not wish to be acknowledged.

Pub Name

Yes, my company offers matching gifts! Enter company name below (if you aren't sure, put your company in parentheses and we will check for you).

Employer #1

Employer #2

School Information:

Student Name

Student School

Student Grade

Student Name

Student School

Student Grade

Student Name

Student School

Student Grade

Student Name

Student School

Student Grade

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Lafayette Partners in Education and I will donate $0.00.No. I will donate $0.00 and Lafayette Partners in Education will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.