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* Mandatory fields
*First name
*Last Name
*School/Organization
What is the name of your school, organization, or business?
*e-Mail
*Phone
*Sponsorship Level ($USD)
Platinum - $4000
Gold - $2000
Silver - $1000
Bronze - $200
*Comment
Please type what the donation is for.
 

email: dmonson@utsta.org


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