Safetyville's Winter Glow Donation Form
I want to help Light Up Safetyville for the Holiday season!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please select how you would like to contribute to Winter Glow
Please Select
Sponsor
In-Kind Donation
I would like to donate:
Outdoor Holiday Decorations
My Time as a Volunteer
DJ Services
Photography Services
Cookies and Hot Cocoa / Coffee
Other
Quick Description of your Donation
Sponsorship Levels
The Nice List: $25
Twinkle Lights Donor: $100
Reindeer Sponsor: $250
Jingle Bell Sponsor: $500
North Pole Sponsor: $1,000
Other
What name should appear on the "Nice List":
Please confirm the amount of your donation here:
prev
next
( X )
USD
Description
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: