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Year End Appeal 2021
Gift Amount - A donation of any amount makes a difference!
*
$600
-
(10) weeks 1-hour private lesson scholarship
$480
-
(16) weeks 1/2-hr private lesson scholarship
$360
-
(12) weeks 1/2-hr private lesson scholarship
$180
-
(6) weeks 1/2-hr private lesson scholarship
$60
-
(1) 1-hour private lesson scholarship
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Is this gift in honor or memory of someone?
select one
In honor
In memory
neither
In Memory/Honor of
Name
Would you like to notify someone of your gift?
select one
Yes
No
Please notify
First Name
Last Name
How would you like us to notify them?
select one
Email
Regular Mail
Notification Email
Verify Email
Notification Email
Verify Email
Notification Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Notification Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to add a dedication?
select one
Yes
No
Dedication
Add 3% to my total amount to help cover the payment processing fees