Donation Form

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Donation

* Mandatory fields
Salutation
*First name
*Last name
Organization
Your current affiliation
*Email
Secondary email
Will only be used if the primary email does not work properly for some time.
*Phone
Please use this format:
+nn-aaa-bbb-cccc
Type of Affiliation in SUT
Clear selection
Degree(s) obtained from SUT
Highest degree (anywhere)
Clear selection
*Chapter(s)
You should at least belong to 1 and maximum to 2 chapters.
*Amount ($USD)
Please select one of the sets above, or enter the amount of your choice in the first row.
*Full Name
Please enter your full name in this field in a first name last name format.
Address
City
State / province
Postal code
*Country
*Affiliated SUTA Chapter
Please specify the SUTA chapter that you are currently affiliated with.
Comment
Suggested use

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