Building Blocks Donation Form

"*" indicates required fields

Donation Section

Name*

First Last

Email*

Address*

Street Address City State ZIP Code

Current Selwyn Affiliation

Parent

Staff

Grandparent, Relative

Friend, Neighbor

Other

Student Name (if applicable)

First Last

Student Teacher

Student's Grade

Do you have more Selwyn students?

Student #2 Name

First Last

Student #2 Teacher

Student #2 Grade

Student #3 Name

First Last

Student #3 Teacher

Student #3 Grade

Building Blocks - Donation Amount

Your donation is securely processed by our partner PayPal, Inc., which deducts approximately 3% as a transaction fee to cover credit card fees, bank fees, and other processing costs. Please consider chipping in an additional 3% so 100% of your donation goes to Selwyn Elementary.

Contribution Options - Select One*

Donate 100% - Add 3% to my donation so that 100% of the donation goes to Selwyn Elementary and covers the transaction fee that PayPal, Inc. charges.

Donate 97% - I understand PayPal, Inc. will deduct 3% to cover transaction costs and reduces the amount of the donation that goes to Selwyn Elementary.

Check made payable to Selwyn PTA.

PayPal Fee

Price: $0.00

Donation Total

Donor Name(s) for donor recognition

Additional Giving Options

Is this donation eligible for corporate matching?

Match Amount (if eligible for corporate matching)

Company Name (if eligible for corporate matching)

Hard copy

Check if you wish to receive a hardcopy receipt of your contribution. Everyone will receive an electronic receipt via email.

ONCE YOU HIT SUBMIT, YOU WILL BE DIRECTED TO PAYPAL TO MAKE YOUR PAYMENT. PLEASE NOTE: ONCE YOU GET TO PAYPAL DONATION SCREEN THERE ARE TWO OPTIONS. IF YOU HAVE A PAYPAL ACCOUNT, SELECT "DONATE WITH PAYPAL". IF YOU WANT TO PAY WITH A CREDIT CARD, SELECT "DONATE WITH CARD".

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Building Blocks Donation Form

Donation Section

Additional Giving Options

Selwyn PTA

Quicklinks