Donation Form - Mr. Stephen Jasper
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. Stephen Jasper and donate online at http://www.digitalwish.com/dw/digitalwish/view_profile?id=58231506466766418
Product ID Title Unit Price Quantity Price
4008 School Portable PA System $2106.00 _____ $_________
ACMMIC Cyber Acoustics ACM-1b Monitor/Lapel Microphone (Needs 25) $6.59 _____ $_________
4009-10 Lightweight Headphones $79.00 _____ $_________
4516 SanDisk Ultra 8GB SDHC Memory Card $9.95 _____ $_________
  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 255
Milton, DE 19968

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