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Donation
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Would you like to stay in contact with us?
Yes
No
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Amount
*
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Where would you like the money to go?
*
select one
General Fund
Benni Fund
Lodging Fee
Scholarships
Membership
Special Instructions
I'd like the donation to be...(in honor of, in memory of, anonymous)
Add 3% to my total amount to help cover the payment processing fees