Team Red: JASM Board Fundraising Challenge

JASM Board Fundraising Challenge

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* Mandatory fields

Prefix

*First name/名

Middle name/ミドルネーム

Middle Name

*Last name/氏

Organization/所属

*Email/eメール

Secondary email

Primary Phone Number

Secondary Phone Number

*Address/住所

Address 2

*City/市

*State/州・県

Postal code/郵便番号

*Country/国

Interested in volunteering?/ボランティア希望

Reference

Please add the name of the JASM member who encouraged you to join.

*Amount ($USD)

*Payment frequency

One-time

Monthly

Annually

Comment

P.O. Box 26639

Minneapolis, MN 55426