Extracurricular Activity Donation
Extracurricular Activity Donation
Phone No.
Contributor/Taxpayer
______________________________
Address
STREET
CITY
School Name(s)
Activity
Dobson High School
Spiritline – ECA Account #274-8125
STATE
ZIP CODE
Amount
Total Amount Contributed
The above payment is eligible for the Arizona state income tax credit as allowed by Arizona Revised Statute §43-1089.01. The tax
credit is limited to $400 for married couples and $200 for individuals. A receipt will be mailed to you for tax purposes. Donations
are nonrefundable by the school district. Please consult your personal tax advisor to determine the application of the credit.
Paying by Credit Card
Paying by credit card – please go to our secure site http://www.mpsaz.org/community/eca/donate/
If you do not have Internet access, please complete this section.
 MasterCard
Expiration Date: ______
 VISA
Card Number
Signature
Please make checks payable to: Mesa Public Schools
Send to:
Dobson High School - Bookstore
1501 West Guadalupe Road
Mesa, Arizona 85202
Visit http://www.mpsaz.org/community/eca/donate to pay online.
Please indicate: Spiritline – ECA Account #274-8125
This is a secure site that allows you to print your receipt immediately.