This form works best using Chrome. Please do not use Firefox.
Please complete this form so we can properly acknowledge your generous contribution. Upon donating, you will receive a receipt from HERS. If you do not receive an email, please contact HERS at (303) 871-6866.
Name and Contact Information
First Name
Last Name
Email
Street Address
City
State
Zip code
Phone Number
Preferred Method of Contact
Please select...
Email
Phone
Donation Information
Amount
Please enter number including decimal only. Please no commas or dollar signs.
Is this donation a contribution to the Judith S. White Scholarship Fund?
Yes
No
If this donation is for an Institute, please note the location and year
Name of Aluma which this donation should be in recognition of, if applicable. If the name under which you attended the HERS Institute does not match the name on this donation, please note.
Message
Once you click the Donate button you will be automatically directed to PayPal to complete your donation. Thank you for your generosity.
Paypal_Hidden_Fields
