2. Name*
3. Email Address
5. Organization/Group
7. Address*
8. Student's Name
10. City*
11. State*
12. Zip Code*
14. Phone Number*
15. Emergency Contact
16. Emergency Contact Number
18. Donation
    HBCU Donation
19. Quantity
20. Amount
21. Shipping Cost
23. Taxable
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24. Calculate Totals Proceed to Checkout

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