PAG Donation Form | Jesuit High School of New Orleans

PAG Donation Form

This form will record your donation by credit card* to the current PAG drive. If you would rather make a pledge now and donate at a later time, please use the PAG Pledge Form.

If you are interested in donating by eCheck or need any other assistance, please call Krista Roeling, Jesuit’s executive development coordinator, at (504) 483-3839.

"*" indicates required fields

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Date

MM slash DD slash YYYY

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Campaign*

Please choose a campaign for your gift.

Your Gift to the Parents Annual Giving Drive

Gift Amount*

The President’s Club ($30,000)

The Founders Club ($10,000)

The Honors Club ($6,000)

Full Gap ($4,854)

Half Gap ($2,427)

Other Amount

Gift Amount*

Learn about different donor levels.

Credit Card Supplement

I would like to add 2.5% to my donation to cover transaction fees so 100% of my donation supports the mission of Jesuit High School.

Yes

Credit Card Supplement

Price: $0.00

Payment Options*

Your gift may be made as a single donation or in equal monthly installments during the current drive. Installments include today’s gift.

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Payments Remaining

The number of payments left to make after today.

Today's Gift

Price: $0.00

Monthly Installment Amount

Price: $0.00

Total Gift

Price: $0.00

Gift Details

Recognition

Jesuit recognizes the generosity of its benefactors in either Jaynotes or in the annual President’s Report. Check here if you prefer your contribution to remain anonymous.

I wish to remain anonymous.

Matching Gift

Will your donation be matched by your or your spouse’s employer/company?

Yes, this gift will be matched.

Matching Company Name*

Donor Information

Donor Relationship

Please check all that apply. I am a:

Parent of a current student

Jesuit alumnus

Grandparent of a current student

Parent of an alumnus

Name*

Donor first name Donor last name

Graduation Year*

Spouse

Please indicate if you are married so that we can properly include and recognize your spouse.

Yes, I have a spouse.

Spouse Name*

Spouse first name Spouse last name

Student Name*

Student first name Student last name

Student Grade*

Donor Email*

Primary Phone*

Phone Type*

Secondary Phone

Phone Type (Secondary)

Payment Information

Your card will be charged today.

Your card will be charged today and then for month(s) for a total of .

Today's Gift

Total Gift

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary / Home Address

Same as billing

Primary Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Comments

Planned Giving*

Is Jesuit currently a part of your planned giving? A planned gift can have 200 times the impact of your annual gift while leaving a permanent legacy. Planned gifts include bequests (i.e., including Jesuit in your will), life insurance policies, special trusts, and more.

Yes

No, but I am interested in the options available

Not at this time

Consent*

I have reviewed the information contained in this form and would like to make my gift to Jesuit. I understand that my card will be immediately charged for today’s gift. I understand that my card will by charged on a monthly basis if I opted to donate in installments. Jesuit High School is a 501(c)(3) non-profit educational institution.

Jesuit’s Tax I.D. # 72-0467510. Tax receipts are mailed at the beginning of the calendar year to donors contributing $250 or more.

I agree to this donation policy.

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Name

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