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Donate

ASHHRA FOUNDATION CONTRIBUTION FORM

Make a contribution.   Please complete the following form and hit the submit button when finished.  You can also print the form and fax it to John Vicik, Foundation Administrator, at 312-422-4577 or you can mail the form along with your check to HRET-ASHHRA Foundation, One N. Franklin, 31st Floor, Chicago, IL, 60606.

Your donation is tax deductible.

Donation Recognition Levels (check your preferred contribution level)

Platinum Donor $1000 and up
Gold Donor $500 - $999
Silver Donor $250 - $499
Bronze Donor $150 - $249
Shining Star Donor $50 - $99
Community Donor   Less than $50
My:

Type of donation:

Please check the program area you would like your donation to be allocated:

Education
Scholarship
Research
General Foundation Operations

Personal Information

Name:
Title:
Entry level
Jr. Manager
Middle Manager
Director
Vice President
CEO

Organization:

ASHHRA Member - member since:
Non-ASHHRA Member

Address:

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Email:

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Date of Birth:
Salary Range:
Education:
Certifications: