Donation Form - Mrs. Samantha Albach

Help your local teachers get the technology items they need. Please sponsor any item below or make a donation in any amount. Every dollar helps!

See the detailed wishlist for Mrs. Samantha Albach and donate online at http://www.digitalwish.com/dw/digitalwish/view_profile?id=83290612638592253

Product ID Title Unit Price Quantity Price P2213 Dell Professional 22" Widescreen Monitor $199.00 _____ $_________ HYGENX45 HygenX Sanitary Headphone Ear Cushion Covers - 50 Pairs $14.95 _____ $_________ HXVR1 HygenX Vray High Intensity Portable UV-C Sanitizer - Kills 99.9% of Bacteria $230.00 _____ $_________   Cash Donation (Any Amount)                                                   Shipping (8%): $_________   Tax (5%, Vermont Only): $_________       Total: $_________

Credit Card (circle one) Visa    Mastercard    Amex    Discover Credit Card #: ____________________________________ Expiration Date:____/_____ CVV2* Code:______________ Exact Name on Card: ______________________________ Phone: ______________________________ E-mail Address: ______________________________ Credit Card Billing Address: ______________________________________________ ______________________________________________ ______________________________________________

Please make all checks payable to "Digital Wish". Please return payment along with this form to the appropriate teacher. Or mail with payment to: Digital Wish PO Box 255 Milton, DE 19968 For more information on these products, or to purchase online, visit http://www.digitalwish.org, or call (866) 344-7758.