Requirements

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AVAA Excellence scholarship recipients must meet the following requirements:

$ Donation Amount:

Make this donation monthly

Personal Info

First Name *

Last Name

Email Address *

Company

Job Title

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Name on the Card *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $100 Monthly

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