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.

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MM slash DD slash YYYY
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Please choose a campaign for your gift.

Your Gift to the Parents Annual Giving Drive

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.
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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The number of payments left to make after today.

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

Donor Information

Donor Relationship
Please check all that apply. I am a:
Name*
Spouse
Please indicate if you are married so that we can properly include and recognize your spouse.
Student Name*

Payment Information

Billing Address*
Primary / Home Address
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
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.
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