2022-2023 Impact Your Community: Love & Learning Campaign Form

upLoading...

Campaign Information Page
{{profilePhoto.url?'':accountBasicInfo}}
- MY PROFILE
- Dashboard
- Log out

1

{{pageTitles[currentPage-1]}}

2

{{pageTitles[currentPage-1]}}

3

{{pageTitles[currentPage-1]}}

Donate Once {{handleFrequencyLabel('1m', 'Donate Monthly')}}

{{item}}

Other Amount

Other Amount

{{donationOtherAmountLabel}} *

USD

{{item}}

{{item}}

{{item}}

Campaign

{{item}}

Team Member Name

If you would like to indicate a 2022-2023 Team member, please list them here.

{{item}}

Dedicate my donation in honor or in memory of someone

{{item}}

Type

Honor

Memory

{{item}}

{{item}}

Tribute Name

{{item}}

I would like to send an acknowledgment to someone.

{{item}}

Acknowledgee Name is the same as the Recipient.

{{item}}

{{item}}

Can we recognize you publicly for this donation?

Yes

No

{{item}}

{{item}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Company Name

{{item}}

First Name *

{{item}}

Last Name *

{{item}}

Submit as a company

{{item}}

Email

{{item}}

Address Line 1

{{item}}

{{item}}

{{item}}

Address Line 2

{{item}}

City

{{item}}

State/Province

{{item}}

Zip/Postal Code

{{item}}

Country

{{item}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card

Pay Later

{{cardDonorCoveredFeeDesc}}

or enter your card details below

Cardholder First Name *

{{item}}

Cardholder Last Name *

{{item}}

Cardholder Email

{{item}}

Card *

{{item}}

Billing address is the same as mailing address

Address Line 1

{{item}}

Address Line 2

{{item}}

City

{{item}}

State/Province

{{item}}

Zip *

{{item}}

Country

{{item}}

{{cardDonorCoveredFeeDesc}}

I will mail in a check or money order

{{item}}

Please mail your payment to:

345 E. Palm Lane

Phoenix , AZ 85004

{{item}}

Amount:

{{donationAmountStr}}/month USD

({{amexDonationAmountStr}} USD for AMEX cards)

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

2022-2023 Impact Your Community Campaign

Campaign%20Logo%20white(2).png

Privacy Statement | Terms of Service

Your email has been submitted. If that email address exists in our system, you should receive a recovery information email shortly. If you do not receive an email, please check your spam folder. If you still don't receive an email, then there is no account associated with the submitted email address.

Log in to your existing account

{{errMsg}}

Login Name:

Password:

Or sign in with

Forgot your password?

Enter the e-mail address associated with your account and we'll send you a link to recover your login information.

Email:

Please enter a valid email address