Scholarship Fund Donation
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$10.00
$10.00
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Scholarship Fund Donation
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Donation Amount
For each person included in this donation payment, please provide: First Name, Last Name, (Maiden Name if married), DHS Class Year
*
Address - Street Number and Name or PO Box [i.e. 123 Main St or PO Box 100]
*
Maximum of 50 characters
Address - City, State and Zip Code [i.e. Dexter, MI 48130]
*
Maximum of 50 characters
Email Address [i.e. name@xyzmail.com]
Maximum of 50 characters
Phone Number - include area code and type (land line, cell, cell w/text) [i.e. 123-456-7890, land (or cell or text)]
Maximum of 30 characters
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