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Donation Form

Thank you for your donation. Your support is very much appreciated.

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Please check the box and indicate your donation amount below::
  I would like to make a donation in the amount of: $
Please note: ANY questions should be directed to: CTSA Executive Director, Mary Jane Ponyik at (216) 397-4980 or mponyik@jcu.edu
Donation Payment Options
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Print this completed form & mail in check to CTSA



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