Proposed Updated Online Donation / Tribute Form

Donor Information

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Email Address *

Donation

Donation Amount

USD

Non-Tribute Donation Amount

Tribute / Memorial Donation

Check to add Tribute / Memorial Donation

Tribute / Memorial Information

In Tribute to / Memoriam of *

Occasion of tribute *

Tribute Donation Amount

USD

Relation of donor to honoree *

Send Notification to:

Name *

Relation of notification recipient to honoree *

Notification Options: *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address

Total Donation

Split my donation between Campership and College Assistance Funds

Enter Campership Percentage Below - College Assistance Percentage will be automatically calculated.

Campership Fund Percentage

College Assistance Fund Percentage

Campership Fund Donation Amount

College Assistance Fund Donation Amount

Add payment processing fees to my donation amount

Total Donation Amount

Payment Processing Fee

Total Amount to be Paid

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PayPal Net Total