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Donation
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Mandatory fields
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First name
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Last name
Organization (if applicable)
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Email
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Address
Address 2
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City
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State/Province
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Zip Code
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Country
Afghanistan
Albania
Algeria
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Angola
Anguilla
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Congo, Democratic Republic of the
Cook Islands
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France, Metropolitan
French Guiana
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Iran, Islamic Republic of
Iraq
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Korea, Republic of
Kuwait
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Laos
Latvia
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Luxembourg
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Madagascar
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Mali
Malta
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Montserrat
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Namibia
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Netherlands
Netherlands Antilles
New Caledonia
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Nigeria
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Poland
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Slovenia
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South Africa
Spain
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Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna Islands
Yemen
Zambia
Zimbabwe
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Amount ($USD)
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Program
Lake Givers Club (General Fund)
Eberhardt Memorial Student Fund
Ann St. Amand Early Career Fund
NALMS JEDI Scholarship Fund
G. Dennis Cooke Symposium Fund
Robert Carlson Secchi Dip-In Fund
In Memoriam (donate in memory of someone special)
In Honor Of (donate in memory of someone special)
Please select a NALMS program/fund to support. If you select more than one, your gift will be split evenly. If you do not select a program/fund, your funds will go into the Lake Givers Club.
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If you have any special notes or considerations, please input them here. If you are making a gift in an individual's memory, please include his/her/their name here. Thank you!
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