Safetyville's Winter Glow Donation Form

Safetyville's Winter Glow Donation Form

I want to help Light Up Safetyville for the Holiday season!
Name

First NameLast 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
Outdoor Holiday DecorationsMy Time as a VolunteerDJ ServicesPhotography ServicesCookies and Hot Cocoa / CoffeeOther
Quick Description of your Donation
The Nice List: $25Twinkle Lights Donor: $250Reindeer Sponsor: $500Jingle Bell Sponsor: $1,000North Pole Sponsor: $2,500Other
What name should appear on the "Nice List":
Please confirm the amount of your donation here:

prevnext( X )
USDDescription

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.