Red Ribbon Reading Donation Form

"*" indicates required fields

Are you the student's parent or legal guardian?*

How many children participated in Red Ribbon Reading?*

How many children are you sponsoring?*

Student 1 Name*

First Last

Student 1 - Grade/Teacher*

Student 1 - Hours Read*

Student 1 - Parent's Name (Verification of Hours Read)*

Student 1 - Donation Amount*

Student 2 Name*

First Last

Student 2 - Grade/Teacher*

Student 2 - Hours Read*

Student 2 - Parent's Name (Verification of Hours Read)*

Student 2 - Donation Amount*

Student 3 Name*

First Last

Student 3 - Grade/Teacher*

Student 3 - Hours Read*

Student 3 - Parent's Name (Verification of Hours Read)*

Student 3 - Donation Amount*

Additional Giving Options

Is this donation eligible for corporate matching?

Click here to see if your company is eligible for matching

Company Name*

Other

Bank of America

Duke Energy

Wells Fargo

Company Name*

Payment Options

How do you want to pay?

PayPal (Select One)*

Donate 100% - Add 3% so that 100% of the donation goes to Selwyn Elementary.

Donate 97% - I understand Paypal, Inc. will deduct 3% to cover transaction costs.

Donate 100% - Add 3% so that 100% of the donation goes to Selwyn Elementary.

Price: $0.00

Checks should be made payable to Selwyn PTA and mark "RRR and your child's name" on the memo line. Please mail to: Lindley Lacey 1904 Maryland Avenue Charlotte, NC 28209 If it is difficult for your out-of-town sponsors to get their pledges to you in the timeframe needed, please consider writing one check to cover these donations and asking these sponsors to write a check to you personally.

Donation Total

Captcha

To prevent spam, solve this simple math problem above.

Red Ribbon Reading Donation Form

Additional Giving Options

Payment Options

Selwyn PTA

Quicklinks