|
Thank you for choosing to make a gift to Gann Academy. To make
your secure online donation, please complete the fields below. Items
marked with an asterisk are required.
Gann Academy does not share names of its donors.
|
|
Please provide
the following donor and billing information
(items marked with an asterisk are required)
Donor/Billing Information |
| Donor's First Name
* |
(as it appears on credit card) |
| Donor's Last Name * |
(as it appears on credit card) |
| Address Line 1 * |
|
| Address Line 2 |
|
| City * |
|
| State * |
|
| Zip Code* |
|
| Country |
|
| Telephone |
|
| Email |
|
| Donation Amount * |
$
|
| Gift matched by |
|
| Please forward your company's matching
gift form to:
Gann Academy,
Development Office,
333 Forest Street,
Waltham, MA 02452 |
| |
Donation Information |
| This gift is made * |
(please designate one) |
Message *
(500 character limit) |
|
| |
Please send a
card to: |
| First Name * |
|
| Last Name * |
|
| Address Line
1 * |
|
| Address Line
2 |
|
| City * |
|
| State * |
|
| Zip Code * |
|
| Country |
|
| |
The card is from (if different
from donor) |
| First Name |
|
| Last Name |
|
| Address Line
1 |
|
| Address Line
2 |
|
| City |
|
| State |
|
| Zip Code |
|
| Country |
|
| |
Donor Information
If the donor information is different from the
billing information, please provide the following: |
| Donor's First Name |
|
| Donor's Last Name |
|
| Address Line
1 |
|
| Address Line
2 |
|
| City |
|
| State |
|
| Zip Code |
|
| Country |
|
| |
Credit Card Information |
| Credit card type * |
(select one) |
| Credit card number * |
|
| CVV2/CVC2 Number (3
digits) * |
|
| Expiration Date (Month/Year) * |
(XXXX) |
| |
Affiliation to Gann Academy |
| Please select one: |
|
| Alumnus/a – please enter
your
year of graduation |
|
| |
| *
I hereby give Gann Academy permission to charge my account for the amount indicated. |
| |
| Comments |
|
 Thank
you for your support.
If you have any questions, please call the Development Office
at 781-642-6800 x104 or x112. Please check your expiration date before selecting Submit.
The submission process will take a few seconds, please be patient.
If you click the submit button twice then your credit card will be
charged with two donations.
|
If you would prefer to mail in your donation, please download our
printable donation form .
Mailing instructions are on the form.
|
|
|
