2023 Winter Teacher & Staff Gift Collection Form "*" indicates required fields Personal InformationDonor Name* First Last Email Address* Gift InformationEnter Total Gift Amount For Core teachers, Special Area Teachers, and Non-Teacher StaffThe suggested total donation is $65 per student. This amount is divided among Core Teachers ($30), Special Area Teachers ($20), and Non-Teacher Staff ($15). Total Amount to Pay Payment InformationPlease enter your payment information securely below. You will receive an email receipt of your payment. Credit Card*Card Details Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ