This field is hidden when viewing the formForm TypeSponsored SubscriptionReading ChallengeSponsor a Classroom or School Thank you for supporting Maine’s readers in grades 4-12! Your donation is tax-deductible, thanks to the Lewiston-Auburn Metropolitan Chamber of Commerce’s fiscal sponsorship of ReMo’s Read More! Initiative. Please complete the following information to process your donation. We look forward to shepherding your donation to support the classroom or school of your choice.Support Maine Reading Challenges Thank you for supporting Maine’s educators and readers in grades 4-12! Your donation is tax-deductible, thanks to the Lewiston-Auburn Metropolitan Chamber of Commerce’s fiscal sponsorship of ReMo’s Read More! Initiative. Please complete the following information to process your donation. We look forward to shepherding your donation to expand readership and participation in reading challenges across Maine.Donor Contact InformationPlease note that you can specify whether you’d like to remain anonymous to your beneficiary later on in this form.Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Email(Required) Phone(Required)Donation InformationWhat type of donation would you like to make? Please select one:(Required)I would like to donate $300 to a classroom.I would like to donate $3,000 to a school.How much would you like to donate?(Required)$50.00$100.00$200.00OtherDonation Amount:(Required) Would you like to specify where your donation will go?(Required)No, please allocate my donation to where it is needed mostYes, please direct my donation to:Name of School:(Required)Town/City of School:(Required)Name of School Contact/Educator:(Required) First Last Email of School Contact/Educator(Required) Would you like your donation to be recognized?(Required) No, I would like to remain anonymous Yes, I would like the educator/school to be notified that I am the donor Yes, I would like to be publicly acknowledged as the donor (e.g. announced on digital and social media) Would you like your donation to be recognized?(Required) No, I would like to remain anonymous Yes, I would like the MSBA Committee to be notified that I am the donor Yes, I would like to be publicly acknowledged as the donor (e.g. announced on digital and social media) If you would like to include a message with your donation, please provide it:Would you like to receive updates on the development and impact of ReMo's Read More! Initiative?YesNoTotal Credit Card Thank you for your financial contribution! We are so appreciative of your support for readers and educators in Maine. Δ
