Summer Youth Enrichment Program Donations

Office of Human Resources Management 1400 McCormick Drive, Suite 159 Largo, Maryland 20774 email:  SYEP@co.pg.md.us 1 - Enter your Billing Information First Name Last Name * * Street Address City * * State Zip Please Select Armed Forces Americas Armed Forces Europe Armed Forces Canada Armed Forces Africa Armed Forces Middle East Armed Forces Pacific Alabama Alaska American Samoa Arizona Arkansas California Connecticut Delaware District of Columbia Florida Georgia Guam 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 Palua Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming * * Phone Number * Business Name (if applicable) Email Address 2 - Enter your Payment Information Donation Amount * - Indicates mandatory data eCheck/ACH payments will incur a service fee of $1.50. Visa debit payments will incur a service fee of $3.95. A service fee of 2.45% of the amount paid will be applied to each credit and debit card transaction.