Donation Form

* Required Fields

Donation Information
Amount
	How would you like to "Help It Happen" for our students?
Select
	Complete the following fields if this gift is a tribute. (optional)
Type of Tribute
Tribute Name
Title
First Name
Last Name
Address
Address 2
City
State/Province
Zip/Postal Code
Email

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

Additional Information
	Can we use your gift to promote the good work of NPSF and encourage other donors to follow your example of support for the students of NPS? To remain anonymous, please select No.

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.

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 Transaction 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 anytime if you wish to discontinue your pledge.

Contact us: Norfolk Public Schools Foundation 512 Philip Ave Norfolk NE 68701 402-644-2500