512 Philip Ave
Norfolk, NE 68701
Phone: 402-644-2500
www.norfolkpublicschools.org
Donation Information
Amount
Type of Donation
One Time Donation
Recurring Donation
Frequency
Monthly
Gift Designation
Area of Greatest Need
Classroom Grants for Teachers
NPS Staff Campaign
NPSF Scholarship Endowment
Future Educator Scholarship Endowment
NHS Career Academies
Traditions Breakfast
Panther Pantry
Panther Packs - Backpack Program
Junior High Auditorium Restoration
Class of 1969 Tribute Fund
Complete the following fields if this gift is a tribute.
(optional)
Type of Tribute
In Memory Of
In Honor Of
Tribute Name
Send acknowledgement to:
First Name
Last Name
Address
Address 2
City
State/Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
Contact Information
First Name
Last Name
Address
City
State/Province
Zip/Postal Code
Home Phone
Work Phone
Email
Credit Card Information
Card Holder Name
Visa
MasterCard
Discover
American Express
Card Account Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
24
25
26
27
28
29
30
31
32
33
34
Security Code
Billing Address
Same As Above
Address
City
State/Province
Zip/Postal Code
Next
©2024 SofterWare, Inc. v.2024.01-B