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2022 RJSA Lodge Donation Form
Online Donation form - 2022
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* Indicates required question
Lodge Name
*
Your answer
Lodge Number
*
Your answer
Email
*
Your answer
Individual Donor Name
Insert individual donor's name
Your answer
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.
$50
$100
$150
Other:
How will you pay?
*
If by PayPal, click the link to PayPal after submitting this form.
Check to be mailed
Credit Card through PayPal
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
Your answer
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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