JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NYAVA Donations
Thank you for contributing to NYAVA! Donations may be earmarked for our President's Circle Scholarship Fund and/or applied to a General Donation Fund. We thank you for your generosity!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is your e-mail address?
*
Your answer
What is the best phone number to reach you?
*
Your answer
Please choose where you would like your donation applied:
*
President's Circle Scholarship Fund
General Donation Fund
Please apply my funds where they are most needed
Please choose a donation amount:
*
$25
$50
$75
Other:
Please choose a donation method:
*
PayPal (send funds to
https://paypal.me/NYAVA659
)
Zelle (send funds to
finance.nyava@gmail.com
)
Check (send checks to NYAVA, PO Box 659, Grand Central Station, New York NY 10163)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms