Ms. Jill's Birthday Fundraiser!

In honor of Gemini's 27th Birthday as well as Ms. Jill's annual fundraiser for her birthday, we are creating a special fund to use for our young friends at Sto-Rox Elementary School, so we can provide an afterschool program starting in January at NO COST to the kids or school. Funding will be used only for this special program to ensure the kids can have a fun, creative, and educational experience every week. Our goal is $3000, and we hope to meet that goal by November 18 - Ms. Jill's birthday. This link is a special donation form just for this fundraiser.

Raised toward our $3,000 goal:

Donor Information

First Name

Last Name

Primary Phone

Please enter digits only. Example: 1234567890

Your Gift

How would you like your donation to be recognized?

I would like to make a one time donation in the amount of

$27 - Gemini Donation$49 - Queen Donation$100 - Shooting StarOther Amount

Other Amount

Ms. Jill's Birthday Fundraiser!

Payment Details

Please verify that the "Donation Amount" is correct below before submitting credit card information.

Donation Amount

Billing Address

Street

City

State

Zip

5-digits only

Credit Card

First Name

Last Name

Card Number

Code

Authnet_Hidden_Fields

Contact Information