Friends of Reed, Inc.

Secure Payment Form

Donation Options:
Donation Date: 09/23/17
Today's Donation Amount:
Service Fee (3%):
Total Charge:
Repeat this amount monthly? Yes (check box to donate today's amount every month)
Repeat this amount for: more months.

GENERAL DONATION: Choose the funding area

Choose from the list
Other funding area: Please list your request below

Specify % to allocate:

to my chosen funding area. (*Required. Numbers only.)
Remaining amount will go to Friends of Reed's general budget.
Student Name
Comments

FIELD TRIPS: List the Field trip. Sign up must be complete first: TRIPS INFO*

Name of Trip
Trip Date: MMDDYY

REED AFTER SCHOOL ENRICHMENT: List the class. Sign up must be complete first: RASE INFO**

Class Requested: Class reservation to be confirmed
Credit Card Information:
Card Type:

First Name:
Last Name:
Card Billing Address:
City:
State:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
Contact Information:
Phone Number:
Email Address: