Gift in Memoriam
Donation Information
Amount:
$
*
Additional Information
The Lexington School is honored to be selected as a recipient for your memorial gift. So that we may inform family of your gift, please make sure to specify to whom your gift pays tribute in the box below.
Frequency:
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Anonymous:
I prefer to make this donation anonymously.
This gift is in memory of:
Billing Information
Title:
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
First Name:
*
Last Name:
*
Country:
Belgium
China
Denmark
England
France
Great Britian
Greece
Ireland
Japan
Kenya
Korea
Mexico
Phillipines
Poland
Russia
Spain
Switzerland
United States
Canada
United Kingdom
Australia
New Zealand
Germany
*
Street Address:
*
City:
*
State:
<Please Select>
UK
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
CZ
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NL
NH
NJ
NM
NS
NT
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
NU
CYP
FR
SPA
*
ZIP:
*
Phone:
*
Email:
*
Payment Information
Cardholder's Name:
*
Credit Card Number:
*
Card Type:
American Express
MasterCard
Visa
*
Card Expiration:
01
02
03
04
05
06
07
08
09
10
11
12
/
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
*
Card Security Code:
*
Additional Security
This is a security measure to help prevent fraud.
Unable to load the reCAPTCHA image. The public key (6LdIMEgUAAAAAL0lY4Ah3YOKJEYb9miIHXYK3RM0) might be invalid for this domain.
reCAPTCHA
TM
Enter the text:
Type what you hear:
*
Get a new challenge
|
Get an audio challenge
Get a visual challenge
If you see "Unable to load the reCAPTCHA image" please refresh the page.