Donation Form - Mr. David Cisek
Help your local teachers get the technology items they need. Please sponsor any item below or make a donation in any amount. Every dollar helps!
See the detailed wishlist for Mr. David Cisek and donate online at http://www.digitalwish.com/dw/digitalwish/view_profile?id=46568250812891701
Product ID Title Unit Price Quantity Price
  Cash Donation (Any Amount)      
         
         
         
         
    Shipping (8%): $_________
  Tax (5%, Vermont Only): $_________
      Total: $_________

Credit Card (circle one) Visa    Mastercard    Amex    Discover

Credit Card #: ____________________________________

Expiration Date:____/_____ CVV2* Code:______________
Exact Name on Card: ______________________________

Phone: ______________________________

E-mail Address: ______________________________

Credit Card Billing Address:

______________________________________________

______________________________________________

______________________________________________

Please make all checks payable to "Digital Wish". Please return payment along with this form to the appropriate teacher. Or mail with payment to:

Digital Wish
PO Box 52
Milton, DE 19968

For more information on these products, or to purchase online, visit http://www.digitalwish.org, or call (866) 344-7758.