Corinne 4 Bham Schools - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

$10
$25
$50
$100
$500
$1200
$ Other

Please select a contribution amount

Please select an even decimal contribution amount if giving as a couple.

Iterations

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

I agree to the following statements:

Certification that Contribution is Not From a Foreign National
I certify that the entity making this contribution is not organized under the laws of, and does not have its principle place of business in, a foreign country. This contribution is not financed in any party by a foreign national, and foreign nationals were not involved in making decisions regarding the contribution in any way.

I, the Authorized Agent listed above, certify that the entity is making this contribution. This contribution is being made, and this certification is being submitted, as of today.

Second Contributor

First Name

Last Name

Joint Address

Address

City

State

Zip

First Contributor

I am retired

Employer

Occupation

Donation more than $250.00 required Occupation and Employer City and State.

This is a Public Disclosure Requirement.

Employer City

Employer State

Second Contributor

I am retired

Employer

Occupation

Donation more than $250.00 required Occupation and Employer City and State.

This is a Public Disclosure Requirement.

Employer City

Employer State

3 Payment Method

Credit Card Number

MM/YY

Security

CVC on Visa/MasterCard/Discover is a 3 digit code on the back of the card. CVC on AMEX is a 4 digit code on the front of the card.

My credit card address is different than my home address.

CC Zip

Please select a contribution amount

Comment

Total donation amount may not exceed $1200.00

Only use the above payment option(s) for individual contributions. Contribute by credit card for corporate or couple donations

By contributing you agree to the terms and conditions.

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Please select an option.

Please input a value between $5.00 and $1200.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $1200.00. Please reduce the number of iterations, or reduce the payment amount.

Time span must not be past credit card's expiration date

Please select this before proceeding

Iterations must be a number greater than 0

Total donation amount may not exceed $1200.00. Please reduce the number of iterations, or reduce the payment amount.

Credit Card number must have 15 digits

Credit Card number must have 16 digits

Credit Card number is not valid

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Number of Weeks

Number of Months

Number of Quarters

Number of Years

PayPal accepted

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Apple Pay accepted

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