Donation Form

This form is for students to donate fees for their textbooks using a credit card.

* Required Fields

Your Donation Information

Amount

$20.00

Other

Type of Donation

One Time Donation
Recurring Donation

Frequency

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

Your 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.

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

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 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.