Palouse Prairie Donations

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Student Supply Donation

To save families time, ensure all students have what they need, reduce waste and our carbon footprint, we purchase all student school supplies in bulk. To support this effort, we request a donation of $35-$50 per student from our families.

Supply Donation Student 1:

Item Subtotal:

$0.00

Students Full Name
Students Grade

Supply Donation Student 2:

Item Subtotal:

$0.00

Students Full Name
Students Grade

Supply Donation Student 3:

Item Subtotal:

$0.00

Students Full Name
Students Grade

Supply Donation Student 4:

Item Subtotal:

$0.00

Students Full Name
Students Grade

Supply Donation Student 5:

Item Subtotal:

$0.00

Students Full Name
Students Grade

Total:

$0.00

Contact Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min)
eCheck:	Free

Method of Payment:	Credit/Debit Card eCheck
Update Name from Above

Name on Account:
Routing Number:
Account Number:
Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

Change Payment Method

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