#GivingKnights on Giving Tuesday
Donation Amount*
$ 100.00
$ 50.00
$ 25.00
$ 15.00
$ 10.00
Other Amount
I would like to make a donation of: *
How was I motivated to make a Giving Tuesday Gift?*
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SMR Social Media Post
Received a Text Message from SMR
Received an Email from SMR
Participated last Giving Tuesday
Encouraged after receiving a thank you note from a SMR student
Encouraged by acts of kindness being completed on Giving Tuesday by SMR students
SMR Publications
SMR Faculty or Staff Member
Other
Other*
Donor Information
Name
Point of Contact*
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Address*
City*
State*
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Alabama
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Zip Code*
Email Address*
Phone Number*
Affiliation
Alumni
Current Parent
Grandparent of Current Student
Parent of Alum
Grandparent of Alum
Friend
Faculty/Staff
Current SMR Student
I/we Prefer to be Anonymous
I/we prefer to be anonymous. Please do not list me/us in published lists or on the website.
Yes
No
My Company Has a Matching Gift Program
Yes
No
Additional Notes Regarding My Gift
Payment Options
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Recurring
One-time
charge of $
Every month
Every 3 months
Every 6 months
Every year
beginning with a charge today of $
Remaining payment
s
will take place
based on today's date
1st of the month
15th of the month
between
and
with the next payment occurring on
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