Gould Donation Form

Thank you for making a gift to Gould Academy’s Annual Fund! Your gift makes an impact. Gifts large and small can transform people, projects, and experience and make a direct impact on the students and teachers here at Gould Academy. Thank you!

Please fill out the information below.

$ Donation Amount:

Choose Your Donation Amount:

Make this donation monthly for 12 months

Gift Designation

Affiliation Faculty/Staff Alumna/us Parent Grandparent Friend

Alumna/us Year

Primary Phone

Any additional info about this gift? (Special instructions? Is it made in honor or memory of a person?)

Is this gift anonymous: Yes No

Personal Info

First Name *

Last Name *

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Name on the Card *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $250 for 12 s