Membership Form
Full Name
*
First Name
Last Name
Company/Organization Name (if applicable)
Name/Company Name as you would like it to appear in program book
E-mail
*
example@example.com
Phone Number
*
Teen Candidate you are supporting (if applicable)
Name of MWAOTeen Candidate
Pink Crown Club Membership Level(s)
*
Level 1 (Tax-Deductible Scholarship Donation) - $100+
Level 2 (Cash Awards and Prizes) - $50+
Level 3 (In-Kind Donations, Products or Services)
Estimated In-Kind Donation Value
Please enter the estimated value of your donation.
Donation Description
If choosing multiple membership levels, please list funds allocation here. If choosing an In-Kind donation, please describe sponsorship, product or service.
Upload Company Logo or product photos (if applicable)
Browse Files
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Pay By Paper Check (option for donations over $500)
I will be mailing a check to Miss Washington Scholarship Organization, P.O. Box 73519, Puyallup, WA 98373
Check Donation Amount
Please enter your total donation amount.
Donation Amount
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USD
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Electronic Payment Methods - Card Payments, PayPal (card, bank account or Venmo)
Payment Methods
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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