Station1 Donation Form

Your gift will provide students with frontier education, research, and internship opportunities and together we will build the foundation for advancing the entire system of higher education.

On behalf of the Station1 team, thank you for your support and joining us on this exciting journey!

CONTACT INFORMATION

First Name

Last Name

Email Address

Phone Number

Company/Organization

Title/Position

Address Line 1

Address Line 2

City

State / Province / Region

Country

Postal/Zip Code

I'd like to receive announcements and updates from Station1

DONATION

Donor Acknowledgement: Station1 acknowledges donors on our website and in certain materials (newsletters, annual reports, etc.). Please specify exactly how you wish your donation to be listed.

For this donation, please list my/our name(s) and/or company, foundation or trust exactly as follows:

I would prefer my gift to be anonymous.

YesNo

Donation Amount

$100$250$500$1000$2500$5000Other - Custom Amount

Enter an amount of your choosing (please enter in the following format, ex: 25.00 without a currency sign):

PAYMENT DETAILS

Name on Card

Card Number

CVC Code

To wire funds directly to Station1 or for more information about how you can support our work, please contact us at info@station1.org,

Station1 is a U.S. tax-exempt 501(c)(3) nonprofit organization (Federal ID Number 81-3784803). Gifts to Station1 are tax-deductible as allowed by law.

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Contact Information