Building Blocks Donation Form

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
$0.00
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".

Building Blocks Donation Form

Donation Section

Additional Giving Options

Selwyn PTA

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