Donation goal

105%
Goal:
$100,000.00
Collected:
$105,073.13
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Donation

* Mandatory fields
 

Personal Info

*First Name
Middle Name
*Last Name
*Email
 

Professional Info

PLS/PE Number
Company/Affiliation
Company contact and selects below will be used in "Find A Surveyor" search form, see home page.
Preferred Address 1
Preferred Address 2
Preferred City
Preferred Postal Code
*Campaign/Fund
*Donation Amount ($USD)
Payment frequency
Donor Comments
 

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