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Dunbar Alumni Federation, Inc. (DAF) MEMBERSHIP/DONATION/EVENT REGISTRATION FORM

Title
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First Name*
Please enter your full name.

Middle Name
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Last Name*
Please enter your full name.

Suffix
Please enter your full name.

Class of*
Please enter the year you graduated.

Address*
Please enter your address.

City*
Please enter your city.

State*
Please select your state.

Zip Code*
Please enter your Zip Code.

Telephone*
Please enter your phone number.

Best time to reach
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Email*
Please enter your email address.

Membership

I wish to become a member
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I wish to renew my annual membership
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Donation

How many donations would you like to make?
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Donation 1

I wish to make a donation to
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Class of
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Individual
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Memorial/In Memory of
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Donation Total
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To establish a Named Scholarship (minimum amount is $500.00) or a Named Endowment (minimum amount is $5000.00 with installments of $1000.00), please contact the DAF office at 202.724.4194.

Donation 2

I wish to make a donation to
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Class of
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Individual
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Memorial/In Memory of
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Donation Total
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To establish a Named Scholarship (minimum amount is $500.00) or a Named Endowment (minimum amount is $5000.00 with installments of $1000.00), please contact the DAF office at 202.724.4194.

Donation 3

I wish to make a donation to
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Class of
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Individual
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Memorial/In Memory of
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Donation Total
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To establish a Named Scholarship (minimum amount is $500.00) or a Named Endowment (minimum amount is $5000.00 with installments of $1000.00), please contact the DAF office at 202.724.4194.

Event Registration

Name of Event
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Cost Per Ticket
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Number of Tickets
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Event Registration Total
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Total Amount Due

Total
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Confirm Total*
Please enter the amount exactly as it appears in the Total field above.

Please verify Total and enter amount

*
Please check the box confirming you have read and agree with this statement.

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