sCHOLARSHIP dONATION 

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Donation

* Mandatory fields
*First name
*Last name
Credentials
If you would like your credentials on your membership card, please type them here.
Organization
*Email
*Phone
*Street
*City
*State
*ZIP Code
Program Director
Educational Institution
Program Phone #
Continuinbg Education
You can upload up to 20 files. Each file should be less than 20 MB.
*Amount ($USD)
Please enter the amount you feel comfortable making to the Scholarship Fund. Your donation is most appreciated. Thank you
Scholarship Donation
these are suggested donation amounts that our members most frequently donate. Please enter the amount you feel comfortable making in the amounts box above. Your donation is most appreciated. Thank you
 Payment frequency
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NYSSRS, Inc. is a 501(c)6 non-profit organization. PO Box 302/ Centereach, New York 11720-0302

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