Walkathon 2019 HSC PayPal Donation Form

2019 Lietz HSC Walkathon Donation Form

Thank you for your generous donation to our 2019 Idella Lietz Home & School Club Walkathon!
Donor Full Name*

First NameLast Name
Student Name (1)*

First NameLast Name
Teacher Name (1)

First NameLast Name
Student Name (2)

First NameLast Name
Teacher Name (2)

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Does your employer match donations to non-profits?*
100% of the funds raised support the students & programs at Lietz Elementary School through the Lietz HSC (Home & School Club).

We are a 501(c)(3) non-profit organization under the regulations of the Internal Revenue Service. All contributions to this organization are tax-deductible to the extent provided by law.
KINDLY NOTE - If your employer matches donations to non-profits, please check with your company on how to make the donation, as they may want you to make the payment through their website to "Idella Lietz Home and School Club". Thank you so much for your effort.
Any donation amount helps! Fundraising goal is $200 per student.
Donation Amount

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USD

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2019 Lietz HSC Walkathon Donation Form