IWWG - Donate Form - Summer Conf Scholarships

*First name

*Last name

*e-Mail

*Street

*City

*State or Province

Please use 2-letter abbreviation for states WITHIN the U.S. For states or provinces OUTSIDE the U.S., please enter the full name.

*Zip Code

Country

*Phone

*Donations ($USD)

Enter your amount

Literary Legacy: $5,000.00 (USD)

Literary Luminary: $2,500.00 (USD)

Literary Leader: $1,000.00 (USD)

Novel Nurturer: $500.00 (USD)

Poetry Patron: $250.00 (USD)

Sonnet Sponsor: $100.00 (USD)

Chapter Champion: $50.00 (USD)

IWWG Scholarship Fund

Please use the amount I donated for the Summer Conference general scholarship fund.

Please use the amount I donated for the Summer Conference student scholarship fund.

Please use the amount I donated for the Summer Conference Uzuri Amini Memorial Scholarship Fund.

Please use the amount I donated for the Summer Conference Anne Walradt Memorial Scholarship Fund.

Please use the amount I donated for travel expenses for Afghan women attendees of Summer Conference

*Recognition

Yes

No

Indicate whether we may include your name in NETWORK, the quarterly newsletter, as a contributor.

My donation is in honor of

My donation is in memory of

Honoree Information

If you are making the donation in memory or honor of someone, please provide that person's address so we can notify them.

Additional options

I wish to remain anonymous.

My workplace will match my gift. Please contact me.

Comments

If you have any additional comments, such as what The Guild has meant to you, please write them here.