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MEN'S CLUB SCHOLAR-IN-RESIDENCE 2024
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First Name
Last Name
*
Email
*
Mobile/Phone Number
Sponsorship Donation
Other Donation
Friends of SIR ($36, or other amount)
Family of Scholarship ($136)
Scholar Benefactors ($360+)
Additional Sponsorship Amount
Total Due
Wed, March 12 2025
12 Adar 5785
Wed, March 12 2025 12 Adar 5785