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Donation Form

Star Educator

Twice a year parents, students and community members can honor CSISD employees with a minimum donation of $10.00 to the CSISD Education Foundation. Recipients will receive recognition on the CSISD and Education Foundation web pages, a Star Educator Pin, and a congratulatory card identifying the donor.

PARENT INFORMATION

Parent's Name: (Required)

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Parent's Phone Number: (Required)

Parent's Email Address: (Required)

HONOREE INFORMATION

Educator #1

1. Name of Honoree (Teacher, Principal or Staff):

1. Honoree Campus:

1. From: Name of Student:

Educator #2

2. Name of Honoree (Teacher, Principal or Staff):

2. Honoree Campus:

2. From: Name of Student:

Educator #3

3. Name of Honoree (Teacher, Principal or Staff):

3. Honoree Campus:

3. From: Name of Student:

Additional Educators

Please list any additional honorees, their campuses, and students' names here:

Total Number of Honorees

Total Number of Honorees: (Required)

Total Donation Amount

Donation Amount (minimum $10 per teacher) (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be

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