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Donation Form

Foundation Donation Form

More information on each Fund can be found at the List of Funds

SEPM Foundation Funds

To make a donation to a specific fund please indicate your choice below.

General Fund Harleton Fund Grover and Sally Murray Educational Endowment Ken Hsu Endowment Robert J. and Ruth A. Weimer Grant Fund John E. Sanders Grant Fund Gerald M. Friedman Fund Garry Jones and Brian O'Neill Memorial Fund for NAMS Student Research Medal Funds (Twenhofel Medal, Shepard Medal, Moore Medal, Pettijohn Medal, or Wilson Medal) Arnold and Lieneke Bouma Fund Eric Mountjoy Fund Lloyd C. Pray and Philip W. Choquette Carbonate Fund SEPM Activities Fund Honorary Member Fund GCSSEPM Fund Dr. S. George Pemberton Endowment Fund

Comments or Instructions: (Example - Donation made to the Student Fund in Brian O'Neill's name)

Contact Information

Full Name*

Member Number

Phone Number*

Email Address*

Credit Card Information

First name

Last name

Company

Address

Address 2

City

State

Zip

Country

Card type

Card number

Expiration month

Expiration year

CSC

Amount

SEPM

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