Donation Form

Hayes Child Development Center

Silent Auction

Payment and Donations

Amount

$100

$50

$25

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Cell Phone

Email for Receipt

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that you have paid the required 5% transaction fee for items won at the Hayes Auction.

Yes! I will pay the $0.00 transaction fee for my card purchased Hayes Center Auction item to cover the cost of credit card processing fees for Clover Park Technical College. I will pay $0.00 total.No. I will pay by cash, check or payroll deduction. (Please do not place your order online if you are not opting to cover the credit card fee). Exact amount can be paid via cash, check or payroll deduction.

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

Email for Receipt

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.