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AGIC Scholarship Fund Contribution

AGIC Education & Training Symposium

Scholarship Contribution

Intro text goes here - about the scholarship.

Note: AGIC is not a charitable organization. Contributions are not tax-deductible for charitable purposes.

First Name(*)

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Last Name(*)

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Your Email(*)

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Title

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Contribution amount

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Please indicate where you'd like your contribution to be allocated

Wherever there is most need

Tony Gonzales Student Scholarship

Women in GIS - Arizona Chapter Scholarship

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Total

0.00 USD

Payment Options

Note: Contributions are processed through our event meeting planner, Organized Affair. Your credit card statement will show a payment to Organized Affair for this contribution.

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Payment Details

Please complete the payment details below. The address must be the billing address for the credit card used.

Note: Contributions are processed through our event meeting planner, Organized Affair. Your credit card statement will show a payment to Organized Affair for this contribution.

Enter the name as it appears on credit card

First Name(*)

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Card Number(*)

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Last Name(*)

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Security Code(*)

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Expiration Month(*)

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Expiration Year(*)

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City

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State

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NOTE: An invoice will be generated and emailed to you after you submit this form. Be sure you have entered the correct email address above. If you would prefer to pay online now, please select the "Credit Card" option above.

Review and Submit

Review your submission above to make sure you have included as much information as possible. If all is correct, check the recaptcha and submit the form. Once you submit the form your payment will be processed by our secure payment processor.

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Cancellation/Refund Policy: All cancellations must be made in writing. Cancellations received at least 21 days prior to the course are eligible to receive a refund, less a processing fee of $50 per registrant.