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Donation Form

Donation Amount:

$25.00$50.00$100.00$500.00$1,000.00

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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June 2017
	S	M	T	W	T	F	S
22	28	29	30	31	1	2	3
23	4	5	6	7	8	9	10
24	11	12	13	14	15	16	17
25	18	19	20	21	22	23	24
26	25	26	27	28	29	30	1
27	2	3	4	5	6	7	8

Please confirm recurring donation:

Donor Name (as you wish to be listed):*

How did you hear about the Scholarship Foundation of Santa Barbara?*

What inspired you to make this gift?*

I recently received a mailing from SFSB.
I am an SFSB Alumni.
I live at Casa Dorinda or Valle Verde.
I am honoring a friend or loved one.
I attended an event sponsored by SFSB.
I know someone who received assistance from SFSB.
I want to help local students achieve their dreams.
I feel SFSB is a good philanthropic investment.
Other Inspiration (state below)

Please state other inspiration:

Name of scholarship fund to attribute gift:

This donation is in honor of:

This donation is in memory of:

Name and Address of person(s) to notify of my memorial/honorary gift:

My employer will match my donation:

YesNo

If yes, name of company:

Additional Areas of Interest:

Establishing a named Scholarship Fund
Joining the Scholars Circle Legacy Society
Joining the Alumni Council

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