Donation Information
Amount
$10.00
$25.00
$50.00
$84.00
$100.00
$250.00
$1,000.
Village Vanguard Leadership Giving:
A leadership gift of $1,000 annually, or $84 each month, will begin or renew membership in the Village Vanguard.
Type of Donation
Recurring Donation
One Time Donation
Frequency
Monthly
Annually
Optional:
Complete the following fields if this gift is a tribute. If contact name and address are provided for tribute, an acknowledgement will be sent on donor's behalf.
Type of Tribute
In Memory Of
In Honor Of
Tribute Name
Title
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
Email
Contact Information
First Name
Last Name
Address
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
Work Phone
Email
Your entry is not a valid email address!
My employer (or my spouse's employer) has a Matching Gift and/or Volunteer Donation program. Please contact me.
Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Village Learning Place and I will donate $0.00 to cover credit card processing fees for a total of $0.00.
No. I will donate $0.00 and Village Learning Place will cover the processing costs.
Credit Card Information
Card Holder Name
Visa
MasterCard
Discover
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
Email
Your entry is not a valid email address!
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