College Station ISD Education Foundation : Programs : Star Educator : Star Educator Donation Form

WITH A MINIMUM $10 DONATION PER TEACHER ALL STAR EDUCATOR RECIPIENTS WILL RECEIVE:

Parent's Name: (Required)

Parent's Phone Number: (Required)

Parent's Email Address: (Required)

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

1. Honoree Campus:

1. From: Name of Student:

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

2. Honoree Campus:

2. From: Name of Student:

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

3. Honoree Campus:

3. From: Name of Student:

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

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Total Number of Honorees: (Required)

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

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