Donation Form

Credit Card payment: To make a donation or payment to Zebra Crossings you may use the Donate button on the right to link with Paypal.

Check payment: You may also send a check made payable to Zebra Crossings. Please use this form to send us additional information. All fields marked * are required.

Gift information
Gift amount *
Please let us know your gift amount.
Invalid Input
Donor Name *
Please let us know the donorname.
Address *
Please let us know your address.
City *
Please let us know your city.
State/Zip Code *
Please let us know your state/zip code.
Phone *
Please let us know your daytime phone.
E-mail *
Please let us know your email address.
All sponsors are recognized on our website and publications.
We will list you as the name above unless you prefer one of the choices below:


Invalid Input
Please let us know the donorname.
 

Tribute Gift Information


Honor the memory of a special person or give thanks to someone special in your life.
For a minimum donation of $100, Zebra Crossings will send a special acknowledgment card
on your behalf to the person of your choice.
I wish to make my gift
Invalid Input
Name
Please let us know the donorname.
Address
Please let us know your address.
City
Please let us know your city.
State/Zip Code
Please let us know your state/zip code.
 

Payment Information
*
Invalid Input
Zebra Crossings
61 Locust Street
Dover, NH 03820
 
Captcha Captcha
Invalid Input
 
  
 

Please note:

You may download a PDF version of this donation form here. Mail this form with your check payable to Zebra Crossings to:

Zebra Crossings, 61 Locust Street, Dover NH 03820.

For credit card payments, please click on the PayPal Donate button.

 

2-1 2-2 2-3 2-4 2-5