SCHOLARSHIP DONATION FORM

To continue POAMN’s ministry to older adults and those engaged in ministries for older adults, additional gifts are welcome to help fund participation in POAMN certificate courses, events, and conferences for those who would otherwise not be able to afford these opportunities. All extra gifts are tax deductible. Gifts can also be given through the PC(USA) Extra Commitment Opportunity (ECO), to account E048101.
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Donation Designation*
- Conference/Events
- Certifications
- Scholarships
Donation Amount:*
I would like to pay by:*
- Paypal
- Check
Total
$0.00

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