Senior Parent Gift/Pledge Form

To make an online gift or pledge to this year's Senior Parent Gift please fill out the form below. When you have completed and submitted the form, a copy of your submission will be sent to you by e-mail. You may donate using your credit card, a personal check, or you may make a pledge to be paid later. If you choose to send a check, it should be made out to Lawrence Academy with the fund to which you are donating noted in the memo line. Please mail checks to the following address:

Development Office

Lawrence Academy

PO Box 992

Groton, MA 01450-0992

The privacy of your online donation is protected by Verisign. Please call the Development Office with any questions (978-448-1565). Thank you for using our online gift form.

Please note: Items in red are required.

Contact Information:

First Name:*

Last Name*

Address 1:*

Address 2:

City*

State*

Postal Code:*

Country

Preferred Phone Number:

Phone*
Ext

Senior Parent Gift:

Amount of Gift/Pledge

How will your gift be paid?*

Please note: You will be asked to confirm your selection on the payment screen after you submit this form.

Does your employer participate in matching gifts?*

yes no I'm not sure.

See if your employer matches gifts.

To find out if your company has a matching gift policy visit this link.

Employer Name:

Please send your employer's matching gift form to the school at:

Matching Gifts, Dept. W
Lawrence Academy Development Office
PO Box 992
Groton, MA 01450

Total Gift

May we print your name in our published donor lists?

yes no

Submitting your gift form:Please fill in your email address below. When you submit your form, you will be presented with a payment screen. Select your method of payment at the top and then complete any necessary information before confirming your payment choice. You will also be sent a complete copy of your gift form.Thank you for giving online.

Please send a confirmation email to the address below*: