Donation Form

* Required Fields

Recurring Gift

Amount

Frequency

The initial gift will be processed today.Subsequent gifts will be processed at the middle of each month.

Class

If Special Fund please choose

If IthacaSTEM Advocates please choose

Complete the following fields if this gift is a tribute. (optional)

Type of Tribute

First Name

Last Name

Send Notification to

Contact Information
* First Name
* Last Name
Company Name
* Address
Address 2
* City
* State/Province
* Zip/Postal Code
Home Phone
Cell Phone
Work Phone
* Email

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

IPEI is a certified 501(c)3 non-profit organization. EIN # 161506703.

Provided no services are received, any gifts made to IPEI and its affiliates are tax-deductible to the fullest extent of applicable state and federal laws.

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 any time if you wish to discontinue your pledge.