Dedicated to PA Audiologists.

Thank you to our Recent Donors for contributing to our PAC FUND!!
Joseph Motzko           Karen Lemme           Jill Knecht           Kylie Hill           Nicole Balliet           Virginia Grim           Linda Hartman           Janelle Burdette           Sherman Lord           Nicole Kwak           Judy Cruez           Natasha Gaston           Susan Parr           Emma Alscher           Jordan Hannold           Jenna Loffredo           Lauren Echkart           Taylor Hill           Rebecca Penaranda           Emily Frederick           Susan Good           Michele Chapman           Lynne Davis           Daniel Nackley           Maryann McCullough Nikander           Bre Myers           Jonette Owen           Catherine Marino           James Shafer           Kamal Elliot           Jim Zeiger           Robert Petruso II          

If you are donating to sponsor a student for the 2020 convention, please write "STUDENT CONFERENCE SCHOLARSHIP" in the comment section! 

The amount to sponsor a student is $75.  Sponsorships will be granted for as long as funds and student requests are available.  If you are unable to donate the entire $75, any amount will be added to other donations in an effort to support as many students as possible.  We appreciate any and all donations.

Thank you!

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Donation

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*e-Mail
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*First name
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*Last name
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*Title
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*Organization
*Best Number to Reach You
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*Main Office Name
*Main Office Address Line 1
Main Office Address Line 2
*Main Office Address City
*Main Office Address State
*Main Office Address Zip Code
*Main Office Phone
*Main Office Fax
*Main Office Email Address
Main Office Website Address
Second Office Name
Second Office Address 1
Second Office Address 2
Second Office Address City
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Second Office Address Zip Code
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Professional afilliations
Clear selection
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Scope of Practice
What ages of patients do you see?
Services Provided
Practice an LLC?
*My Volunteer Options
PAA is our professional organization. Your help would be truly appreciate it.
Setting
The setting of this office can best be described as a
What is your position in the office?
Dispenser?
Licensed in PA?
*Amount ($USD)
Comment

Remember to write "STUDENT CONFERENCE SCHOLARSHIP" in the comment section!  Otherwise, the donation will be added to PAA's general fund.

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