Donor Partner
Questionnaire

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Full name Address City Country ZIP Phone Email Organization
How would you like to donate to ACRJ Foundation? If other, please state I/We pledge a total of If other, please state I/We plan to make this contribution in the form of: If other, please state Would you be interested in being a Mentor for Students? If yes, what is your Occupation? What are your skills, talents and interests? What date will you be available to be a part of the Mentorship Programme?
Please use the following name(s) in all acknowledgements: I/we wish to have our donation remain anonymous: