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Name:
Email:
Comment:
Email Address
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First Name
Last Name
Donor Activity
Never Donated
Hot Prospect (Recently gave first gift)
Repeat Donor (more than 1 donation)
Recurring Donor (recurring donation on GG)
Lapsed Donor (last donated more than 18 months ago)
Region
Africa
Oceania
Asia
Europe
North America
South America
Type of Donor/Contact
Individual
Business Representative
Foundation Representative
NGO Representative
Church Representative
How did you hear about AMS?
Partnership
AMS employee
Dr. Pasquine / Dr. Adebiyi
Word of Mouth
Anniversary Gala 2017
Social Media
Other Media
Preferred/Previous Donation Method
GlobalGiving
Mobile Money
Direct Deposit/Check
Cash
N/A
Primary / Potential Relationship to AMS
Current Employee
Past Employee/Volunteer/Visitor
Partner / Corporate Sponsor
NGO / Non-Profit Partner
Individual Donor
Supporter/ Interested Individual
