Friends of SwAEBR Form
Fill out the form below to become a Friend of SwAEBR
Summer Internship sponsor - $1200 Science fair awards sponsor - $500 Teacher thank you award - $100 Student finalist awards - $75 Classroom game sponsor - $50 Other
Name:
Organization:
Address:
City: State: AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
Phone: Fax:
Email:
Research/Education interest:
Is this a renewal: Yes
Please complete the form, print and include with your check made out to:
SwAEBR, P.O. Box 210101, Tucson, AZ 85721-0101
Any questions? Contact the SwAEBR Coordinator
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