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Event Donation Details
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Donation Amount
*
$1,000
$500
$300
$200
$100
$
Referred By
Gift Note
Is this gift a tribute?
Select to add tribute details
Yes
Tribute Type
*
In Honor Of
In Memory Of
Tribute Name
*
First Name
Last Name
Dedication
Tribute Notification Preference?
*
Would you like us to send a notification of your gift in their name?
Yes
No
Tribute Notification Recipient (if different from Tribute Name)
First Name
Last Name
Tribute Notification Email
Verify Email
Tribute Notification Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Donor Contact Information
Name
*
First Name
Last Name
Organization/Company
(if applicable)
Preferred Email
*
Verify Email
*
Preferred Email Type
*
select one
Home
Work
Other
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Address Type
*
select one
Home
Work
Other
Preferred Phone #
Preferred Phone Type
select one
Mobile
Home
Work
Other
Additional Options
Anonymity?
Sometimes we like to publicly thank our donors, check this box if you would prefer us to list your name as "Anonymous"
Keep my donation anonymous
Would you like to be subscribed to our email list?
*
Receive periodic announcements regarding upcoming trainings, events, and developments direct to your inbox.
Yes
No
I already am
Notes, Comments, or Questions:
Add 3% to my total amount to help cover the payment processing fees