Educational Endowment Fund Contribution Form

Thank you for your interest in supporting the mission of the AIRA Grant Newton Educational Endowment Fund. Please fill in the information below. Contributions to the Fund are fully tax deductible. You will receive an email receipt for your records. For more information or to arrange other method of payment, contact AIRA Controller, Sue Cicerone at
(541) 858–1665 or scicerone@aira.org

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Contributor Information

*First Name: *Address:
 Middle: *City:
*Last Name: *State:
 Company: *Zip:
*Email: *Country:
*Phone:

Payment Information

*Amount
*Cardholder's Name
*Card Type Mastercard    Visa    American Express    Discover
*Credit Card Number *Expiration
*Security Code *Billing Zip