Donation Form

Thank you for donating your birthday instead of receiving wrapped gifts! You present is providing current and future Corvian students with healthy and happy futures. Happy birthday!

Donation

I would like to dedicate this donation

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

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Zip/Postal Code

Home Phone

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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 Corvian Community School and I will donate $0.00.No. I will donate $0.00 and Corvian Community School will cover the processing costs.

Payment Information

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Credit Card Information

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Same As Above

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