Online Donation Form

Transform a Life and Improve a Community...

* Required Fields
Donation Information
  Type of Donation 
Tribute (optional): 
Complete the following fields if this gift is a tribute.   
  Type of Tribute 
  Honoree First Name 
  Honoree Last Name 
Send an Acknowledgement to
(include name and address)

Contact Information
* First Name 
* Last Name 
* Address 
* City 
* State/Province 
* Zip/Postal Code 
* Home Phone 
  Work Phone 
* Email 
  Graduation Year 
  I would like my gift 
to remain anonymous 

Credit Card Information
  Card Holder Name 
  Card Account Number 
  Expiration Date 
* Security Code
Click here for CVV2 information 
Billing Address
  Same As Above 
* Address 
* Zip/Postal Code 

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We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us: Quinebaug Valley Community College | 742 Upper Maple Street | Danielson, CT 06239-7329 | 860.412.7328

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