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Marquez Enrichment Fund
2023-2024
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
Relationship to Student
*
select one
Parent
Grandparent
Friend
Other
Student Name
First Name
Last Name
Student Name - #2
First Name
Last Name
Student Name - #3
First Name
Last Name
Does Your Company Match?
*
Yes
No
I'm Not Sure- Can FOM Check for Me?
Company Name
Do you want to ask Grandparents or Family Members to donate? If yes, please input email address below.
Grandparent or Family member name
First Name
Last Name
How do you want your name to appear
*
Anonymous
Family Name
Other
How would you like to be recognized?
Donation Amount
*
$10,000
-
Seagull Donor (per family)
$5,000
-
Songbird Donor (per family)
$3,600
-
Flower Donor (per family)
$2,000
-
Gold Leaf Donor (1 student)
$3,500
-
Leaf Donor (2 students)
$1,750
-
Leaf Donor (1 student)
$
Add 3% to my total amount to help cover the payment processing fees