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SV2 Trip to the US South: Race, Equity, & American Identity | Registration Form
First Name
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Last Name
*
Street
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Maine
Maryland
Massachusetts
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Mississippi
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New Hampshire
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New Mexico
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North Carolina
North Dakota
Ohio
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Oregon
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Mobile Phone
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Email
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Payment:
Please note that the cost of this trip is not a tax deductible contribution and may not be made through a Donor Advised Fund (DAF). A non-refundable deposit of $500 is due at registration.
Payment Schedule Options:
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Pay the full amount of $5,000 now. If you cancel before July 1, 2024, you will be refunded $4,500.
Pay the deposit of $500 now and the balance of $4,500 by July 1, 2024.
Payment Method:
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I will make my contribution via Check. Please make all checks payable to “Silicon Valley Social Venture Fund.” Mailing address is on the following page.
I will make my contribution directly via Credit Card. Simply contribute now via our secure online system.
If you have questions about payment, please contact Daisy Manapsal at dmanapsal@sv2.org.