* Required

Thank you for your generous support of Ursuline Academy. Please select your choice of gift fund in the "Gift Designation" field below and add any special instructions in the box at the bottom of the form.

First Name*required

Middle Name

Last Name*required

Address*required

City*required

State*required

Zip Code*required

Phone Number

Phone Type

(select one)

Cell Home Business Other

Email*required

Affiliation*

(select all that apply)

Alumna Parent Grandparent Trustee Friend of Ursuline Academy Faculty or Staff Parent of Alumna Former Faculty or Staff

Select an Amount*required

I would like to give a different amount

Gift Designation*required

This is a payment on a pledge*

Yes No

Please indicate whether your employer will match your gift.*

Yes No

Employer Name*required

This gift is given in honor of

This gift is given in memory of

Special Instructions

Would you like to make this a monthly gift? When you make a recurring gift, the impact is strengthened by allowing us to plan ahead, budget accurately, and save money on fundraising. Small amounts add up to make a big difference! If you wish to make a gift payable over a period of years, please contact the Advancement Office at 781-493-7711.

After clicking the "Continue" button below, you will be asked for your credit card information.

Payment Options

I will be paying a charge of $ beginning with a charge today of $

Remaining payments will take place between and with the next payment occurring on

You can cancel your subscription by emailing jreynolds@ursulineacademy.net or calling 781-493-7715

Please send a confirmation email to the address below*: