Kentucky Society of Radiologic Technologists, Inc is a non-profit organization. P.O. Box 23153, Lexington, KY 40523

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If you would like to donate to the Jacklynn “Jackie” Darling Memorial Scholarship Fund please enter your information below to make a tax deductible donation in any amount. Thank you so much for your support.

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Donation

* Mandatory fields

*First name

*Last name

*e-Mail

Phone

Address 1

Address 2

City

*State

Postal Code

Renewal Month

ASRT Member Number

State Certification Number

You may contact me via regular mail with information and an

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You may contact me via email with information and announcem

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*Amount ($USD)

Comment

You may also send a check to KSRT, Inc (please mark JJD fund in the memo of your check):

KSRT, Inc

P.O. Box 23153

Lexington, KY 40523

Terms for the distribution of the scholarship will be displayed for everyone at a later date.