Barnesville School -> Giving -> Online Donation -> Gift Over Several Months

Name

First*

Last*

Class of

Home Address

Street*

City*

State*

Zip*

Phone Number

Email Address*

Barnesville Affiliation

I am a/an

	Alumnus/a		Parent		Past Parent		Grandparent
	Student		Staff/Faculty		Trustee		Friend

Several Payment Gift

Enter the total amount of your gift

$

The total amount entered above will be spread out over the number of months indicated below.

Number of monthly payments (full payment must be made by the end of the fiscal year)

Credit Card Information

Name on Card*

Credit Card Type*

Credit Card Number*

Expiration Month*

Expiration Year*

CCV*

Company Matching Information

My company will match my gift in the amount of

$

Form Total: $0.00

Company Name

Company Address

Street

City

State

Zip

Company Phone Number

Company Email Address

	I would like to speak with someone about including The Barnesville School in my estate plans
	I would like to speak with someone about transferring gifts of stock and securities

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