Double K's For Kids Donation Form

Please make sure to enter the correct Student ID Code. Students receive credit for each dollar donated. Help students achieve their goal of raising $20,000 by December 20, 2015. Every Dollar Counts.

Your donation will benefit Pleasanton Middle School.
All donations are tax deductible (Tax ID # 94-3062524).

Information collected on this form shall be used to process your donation.

Student ID Code

*Please get this code from your student.

Other Codes

If you have additional student codes, add them here. Points/donations will be divided evenly.

Donation Amount

$100

$50

$25

$10

(Enter Other Amount)

Publish Your Donation

Encourage others to donate by publicly sharing your name next to the donation amount on the Double K's For Kids website.
Please Check this box if you Agree to Share your name:

Your Name

First Name	Last Name

Billing Address

Street Address

City	State	Zip

Phone Number

Check here to receive your Receipt To Your Phone

Email Address

Check here to receive your Receipt To Your Inbox

Card Type

Card Number

Expiration Date

CVV Security Code