Donation

Donation Form

I wish to support the ACPA Foundation with a Donation

Donation Amount:

$50.00
$100.00
$250.00
$500.00
$1,000.00


Donation Categories:

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:


I wish to support the ACPA Foundation
I wish to support the ACPA Foundation in honor of the following Class of 2014 Diamond Honoree(s):	William Barratt Holley Belch Lee Calizo Laura Dean Becki Elkins Joy Gaston Gayles Floyd Hoelting John Wesley Lowery Christopher MacDonald-Dennis Chris Moody Julie Owen Ray Quirolgico Frank Shushok Kristin Skarie Susan Stock Terrell Strayhorn Sherry Watt E. Boyd Yarbrough

The following money should be distributed to DH's based on the following increments all non indicated amounts will be divided between all honorees checked: Sample $60 to John Smith and $40 to Jane Doe:

This is in honor of:

This is in memory of:

ACPA Member?	YesNo

Emeritus Member?	YesNo

Matching Gifts
My gift will be matched by my employer:	YesNo

Employer name if you answered "Yes" above:

Please send me information about nominating a future Diamond Honoree:	YesNo

Please send me information about The ACPA Foundation Grants Program:	YesNo

Please send me information about The Heritage Society. I have left a bequest to the ACPA:	YesNo

I would like to volunteer to help with the Foundation activities:

For Tax Purposes - please credit this donation to the following individual(s):

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