DONATION FORM

Yes!  I would like to impact the life of a Greek American student though my support of the PanHellenic Scholarship Foundation.

CONTRIBUTION
Year-End Donation:	Select Donation $1,000 $500 $250 $100 Other
Year-End Donation Other:	(xxx)
Scholarship Awards:	Select Contribution Premier Benefactor ($10,000) Grand Benefactor ($5,000) Benefactor ($2,500) Patron ($1,000) Supporter (Under $1,000)
Supporter (Under $1,000):	(xxx)
Hellenic Birthright:	Select Contribution Founding Sponsor ($5,000) Preserving Sponsor ($2,500) Sustaining Sponsor ($1,000) Supporting Sponsor (Under $1,000)
Supporting Sponsor (Under $1,000):	(xxx)
Total :
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