RJSA Lodge Donation Form
Lodge Name *
Enter Lodge Name
Lodge Number *
Email *
Individual Donor Name
Insert individual donor's name
Donation Amount *
See Registration discounts available for donations of $100 and $150. You donating another amount, click "Other" and enter the amount you wish to donate.
How will you pay? *
If by PayPal, click the link to PayPal after submitting this form.
After you click the "Submit" button you will be taken to a page to click on a PayPal link to pay by credit card. PayPal convenience fees apply.
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