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Donations | Contribution Selection
 
 
Fund Identification
FundMemorial Fund
DescriptionDiscretionary fund resulting from donations given in memory of members who are deceased. Funds are used to honor deceased members and help preserve and share their interest(s) in physics education with the greater physics community. 
Contribution Information
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(numbers only e.g. 500, 250, 100 ...)
Donor Information
 
Prefix
First Name * Middle 
Last Name * Suffix 
Email * Re enter e-mail 
Address 1 *
Address 2
City *
State or Province * Zip code 
Country
Phone (123) 456-7890 *
Donor Recognition
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 In Memory of/Honor Gift
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