Peace Valley Charter School
             
School Supplies
Your $140 tax deductible donation will cover: main lesson books, beeswax block and stick crayons, modeling beeswax and clay, colored pencils, watercolor paints, brushes, calligraphy pens and paper, knitting yarn, raw wool, recorder, ukulele, Eurythmy shoes, and more.
 
Suggested Annual School Supply Donation:   $140.00   Quantity:   Item Subtotal:  
$0.00
Students Full Name [1]

Students Full Name

[2]

Students Full Name

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Students Full Name

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Students Full Name

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Students Full Name

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Students Full Name

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Students Full Name

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Students Full Name

[10]
Other School Supply Donation Amount:   $   Item Subtotal:  
$0.00
Students Full Name [1]

Students Full Name

[2]

Students Full Name

[3]

Students Full Name

[4]

Students Full Name

[5]

Students Full Name

[6]

Students Full Name

[7]

Students Full Name

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Students Full Name

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Students Full Name

[10]
 
If you are willing to donate to help cover those who are unable to donate, please do so below.
School Supply Donation Assistance for Others:   $   Item Subtotal:  
$0.00
 

Field Trip (Enrichment) Donations
K - 3rd Grade Suggested Donation:   $65.00   Quantity:   Item Subtotal:  
$0.00
Students Full Name [1]

Students Full Name

[2]

Students Full Name

[3]

Students Full Name

[4]

Students Full Name

[5]

Students Full Name

[6]

Students Full Name

[7]

Students Full Name

[8]

Students Full Name

[9]

Students Full Name

[10]
4th - 6th Grade Suggested Donation:   $90.00   Quantity:   Item Subtotal:  
$0.00
Students Full Name [1]

Students Full Name

[2]

Students Full Name

[3]

Students Full Name

[4]

Students Full Name

[5]

Students Full Name

[6]

Students Full Name

[7]

Students Full Name

[8]

Students Full Name

[9]

Students Full Name

[10]
Other Field Trip Donation Amount:   $   Item Subtotal:  
$0.00
Students Full Name [1]

Students Full Name

[2]

Students Full Name

[3]

Students Full Name

[4]

Students Full Name

[5]

Students Full Name

[6]

Students Full Name

[7]

Students Full Name

[8]

Students Full Name

[9]

Students Full Name

[10]
 
If you are willing to donate to help cover those who are unable to donate, please do so below.
Field Trip Donation Assistance for Others:   $   Item Subtotal:  
$0.00
 

Total:
$0.00
 
 
Parent/Guardian Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.9% plus $0.30
eChecks: $0.49
Update name from Parent/Guardian Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Parent/Guardian Information
Cardholder's Name:
Billing ZIP/Postal Code:
 
NOTICE: If it’s your family’s preference to purchase these items independently rather than contribute to the school supply fund, please request a list of supply suggestions from the school.
 
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