subject_line
Donor Information
Donor address is the same as Billing address
Yes
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Referred by Board Member:
*
None
Alioto N
Alioto R
Azzolino
Baccetti
Baldocchi
Barcon
Basso
Battaglia
Bechelli
Bellero
Boschetto
Braucher
Canepa
Cardella
Cassettari
Cassin
Cipollina A
Cipollina C
Costamagna
Cox
Crudo
DeMartini G
DeMartini M
DeVoto
Dito
Duggan
Dutto
Frugoli
Galli
Gandolfo
Gumina
Harris
Kimmel
Kopp
Lapera
LaPointe
Larocca C
LaRocca R
Lavin
Lazzaretti
Lee
Leveroni
Lockard
Maionchi
Mana
Martino
McDonald
Monfredini
Montemayor
Moresco
Mori
Myers
Nibbi
Paolini
Pellegrini M
Pellegrini R
Petruzzella
Piccetti
Richards
Ruiz
Sangiacomo
Saveri
Scoma
Scuoteguazza
Serrata
Spiegel P
Spiegel W
Sturla
Sullivan
Tomei
Wall
Whitehead
Wiatrak
Zuffo
Reception R.S.V.P.
Number of People Attending
*
2
1
None
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