Donation Form Organization Mission Statement Advancing Women in Technical Studies Donor Information First Name/Company Name (required) Last Name/Company Name (required) Street address (required) City (required) State (required) Zip Code (required) E-mail Address (required) Phone number Pledge amount (required) Apply my donation to National ScholarshipNational EndowmentChapter Scholarship Applied to which Chapter Scholarship (others coming soon) —Please choose an option—Alpha Chapter - University of MinnesotaBeta Chapter - University of OklahomaEpsilon Chapter - Iowa State University Permission to share donation via Social Media NameAmountChapterScholarship Fund Please use the following name(s) in all acknowledgment