Donate You have chosen to donate to: Special Needs & Special Education Donation Information Amount: $ * Additional Information Frequency: Weekly Monthly Quarterly Annually On: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting: Ending: Ending: Corporate: This donation is on behalf of a company Anonymous: I prefer to make this donation anonymously Comments: Billing Information Title: <Please select> Mr. Ms. Mrs. Dr. Miss Prof. Drs. Mr. and Mrs. * First name: * Last name: * Country: United States * Address lines: * City: * State: <Please Select> AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT * ZIP: * Phone: * Email: * Payment Information Cardholder's Name: * Credit Card Number: * Card Type: Visa American Express Discover MasterCard * Card Expiration: 01 02 03 04 05 06 07 08 09 10 11 12 / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 * Card Security Code: * Dollars4Schools will make every attempt to apply your donation to the program(s) you specify. However, in the event a program cannot be completed (e.g., the teacher leaves the school, the teacher cannot complete the program with the funds raised), Dollars4Schools reserves the right to reapply the monies to our General Program Fund to be reallocated to other programs.