Online Giving Form – General Donor Information First Name: MI: Last Name: Phone: * Email Address: * * Mailing Address: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code: * The TCC Foundation inspires investment in student success by supporting programs that reduce barriers to education – programs like scholarships, the Student Emergency Fund, and the Titan Food Pantry Gift Designation: * Greatest Needs – Your gift will provide flexible funding to fuel student support at TCCScholarships – Please specify which program or scholarship your gift should be directed to (or type “general”):Other – Please specify what your gift is for: * * Gift Amount:* $1,000$500$250$100Other Is this a one-time or recurring donation? * One-Time DonationMonthly Donation Is this a business or personal donation? * PersonalBusiness Billing Information Credit Card Number: * Expiration Date: Month January February March April May June July August September October November December * Year 24 25 26 27 28 29 30 * Billing First Name: * Billing Last Name: * Billing Address: Street: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code: *