Thank you for supporting our school through the EITC program!

This is a 2-year commitment, with the listed pledged contribution amount due by October 31st.

For questions, contact Courtney Kokus at courtney.kokus@susquehanna.org.

Name(Required)

First Last

Joint Name

First Last

Business Name (if applicable)

Phone(Required)

Email(Required)

Joint Phone

Joint Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Donor Type

Individual

Business

Both

Amount(Required)

Please enter a number greater than or equal to 1000.

I plan to give at least this much next year as well.

Yes

I'm not sure yet

This helps us plan for next years financial aid awards.

I'm ok with being publicly thanked.

Yes

We list our donors on our Annual Report, Auction Program, and Donor Dinner slides.

Date(Required)