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BJB Scholarship Fund Virtual Event Registration 2021
Name
First Name
Last Name
Email
*
Verify Email
*
Amount per household
*
$500
$250
$150
$75
$50
$
Would you like to receive the coffee and sweet bread?
*
Yes, please mail them to me.
No, I just want to attend the virtual PV presentation and tasting.
Where should we mail the coffee and sweet bread?
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to make this gift anonymously?
select one
Yes
No
Check your impact?
*
select one
Yes, monthly.
Yes, quarterly.
Yes, annually.
Nah, no thanks.
I already receive updates!
Add 3% to my total amount to help cover the payment processing fees