Safetyville's Winter Glow Donation Form
I want to help Light Up Safetyville for the Holiday season!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please select how you would like to contribute to Winter Glow
Please Select
Sponsor
In-Kind Donation
I would like to donate:
Outdoor Holiday Decorations
My Time as a Volunteer
DJ Services
Photography Services
Cookies and Hot Cocoa / Coffee
Other
Quick Description of your Donation
Sponsorship Levels
The Nice List: $25
Twinkle Lights Donor: $250
Reindeer Sponsor: $500
Jingle Bell Sponsor: $1,000
North Pole Sponsor: $2,500
Other
What name should appear on the "Nice List":
Please confirm the amount of your donation here:
prev
next
( X )
USD
Description
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: