Donation Form

Donate

Thank you for your generous contribution!

Donation

Please apply my donation to the following: (Indicate by name the specific existing scholarship, sport, high school, or program you wish to receive the donation)

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Are you a graduate of an NJUHSD HS?

If so, from which HS

If yes, please indicate your graduation year (Enter 4-digit year)

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

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We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us: Nevada Joint Union High School District •• 11645 Ridge Road, Grass Valley, CA 95945 •• (530) 273-3351 ext. 224 •• [email protected]