2022 RJSA Lodge Donation Form
Online Donation form - 2022
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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.
If donating to take advantage of free registration, list member names of those attending and taking advantage of your donation. Include full names and member numbers
After you click the "Submit" button you will be taken to a page to click on a PayPal link to pay by credit card.
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