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SJR12 Donation Form
Amount
*
$8.34
-
Century Club (x 12 = $100)
$10
-
Monthly Donation
$25
-
Monthly Donation
$50
-
Monthly Donation
$83.34
-
Leadership Society (x 12 = $1000)
$100
-
Monthly Donation
$200
-
Monthly Donation
$500
-
Monthly Donation
$
Donation Schedule
Monthly
Additional comments about my gift (optional)
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Organization Name
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Name
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First Name
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Phone
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City
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State
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Relationship to SJR
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Alumni
Alumni & Parent of Alumni or Current Student
Alumni & Grandparent of Alumni or Current Student
Parent of Alumni
Parent of Current Student
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Grandparent of Current Student
Other
Your Graduation Year
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How Did You Find Us?
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Letter
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in honor of
in memory of
Tribute Information
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Personal Tribute Message
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