On-Line Giving
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Donor Information
*
= required
Full Name
*
Affiliation
*
<Pick One>
Alumni
Current Parent
Grandparent
Parent of Alumni
Friend of School
Faculty/Staff
Year of Graduation
(4 digits, if applicable)
Address Line 1
*
Address Line 2
City
*
State/Province
*
Zip/Postal Code
*
Country  
Daytime Telephone
*
Email
*
What prompted you to make this gift?
Recognition
Please indicate how you would like your name(s) to be recognized in our Donor Listings.
I wish for my name to remain anonymous
Credit Card Information
I would like to contribute:
Total Donation Amount (US$)
*
Credit Card Type
*
<Pick Type>
Visa
MasterCard
American Express
Credit Card Number
*
Verification Code
*
Expiration Date
*
<Pick Month>
01
02
03
04
05
06
07
08
09
10
11
12
*
<Pick Year>
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Name on Card
*
Child's Full Name & Grade for Student Account
*
(if billed to Student Account)
Directed Donations
*
I would like this gift to be directed to:
$
Dutchess Day Fund
$
Endowment
$
(Please Specify)
Matching Gifts
Please indicate whether your employer or your spouse's employer will match your gift.
Yours |
Spouse |
Organization Name(s)
Yes
, matching form will be sent later
No
, matching not available
Please fax your form to Eileen Shaw at 845-677-6722 or mail to Eileen Shaw, Interim Director of Development, Dutchess Day School, 415 Route 343, Millbrook, NY 12545.
In Honor / Memory of
I would like this gift to be in Honor / Memory of:
Name(s)
In Honor
In Memory
Please send an acknowledgment of my gift to:
Name
Address
Special Instructions
Any special instructions we should know?
Thank You! Your receipt will be mailed to the above address.
Copyright © 2025,
Dutchess Day School
and
Net Directories Inc.
DDS | 415 Route 343 | Millbrook, NY 12545 | Tel: 845-677-5014 | Fax: 845-677-6722