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Dayton Regional STEM School
Donation Form
Your generous contribution will benefit the students and mission of the Dayton Regional STEM School.
Your donation is tax deductible.
First Name
*
Last Name
*
Type of Stakeholder
*
Parent
Family Member of Student
Faculty or Staff
Board of Trustees
Partner
Alumni
Friend of STEM
Other
Other
Student's Name (if applicable)
Student's Grade (if applicable)
Are you donating on behalf of an organization? If so, which one?
Email Address
*
Phone Number
Street Address
City
State/Province/Region
Zip/Postal Code
Donation Details
Donation Amount
*
I'd like to donate this amount:
*
One Time
Monthly
May we thank you publicly?
No, please keep my information anonymous
Donor Name Preference
Donation Comments
Processing Your Donation
I agree to the 3% credit card processing fee.
*
I AGREE - 3%
Current Total:
$0.00
Calculate
Name on Card
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CVC Code
*
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