Donor Member Form

Basic Information

First Name:
Last Name:
City State Zip

Donor Member Levels

Select Level of Donation
$25-$49 = SCAA Friend (SCAA static cling decal, recognition on SCAA website)
$50-$99 = SCAA Sentry (travel mug plus all friend donor items and recognition)
$100-$249 = SCAA Defender (SCAA tote bag with all Sentry donor items and recognition)
$250+ = SCAA Champion (SCAA folding event chair and carry bag all Defender donor items and recognition)
Enter Amount of Donation
Are you making this donation on behalf of someone else? If so, and you would like us to let them know of your donation, please list their name and email.
   - denotes required fields