*
Required
First Name
*
required
Last Name
*
required
Email
*
required
Spouse's First Name
Spouse's Last Name
Spouse's Email
Address line 1
*
required
Address line 2
City
*
required
State
*
required
Zip
*
required
Home Phone
Cell Phone
*
required
Spouse's Cell Phone
Affiliation*
Please check all that apply.
Alumna
Parent
Grandparent
Past Parent
Faculty / Staff
Friend
Class Year
*
required
Daughter's Name
Class of
Daughter's Name
Class of
Daughter's Name
Class of
Daughter's Name
Class of
Granddaughter's Name
Class of
Granddaughter's Name
Class of
Granddaughter's Name
Class of
Granddaughter's Name
Class of
Recognition*
May we print your name in our annual report?
Yes
No, I wish to remain anonymous.
Please make my gift in*
Memory of
Honor of
Name of person to be memorialized / honored
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Please send an acknowledgement of my gift to:
Name(s)
Address line 1
Address line 2
City
State
Zip
Donation Amount
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Please send a confirmation email to the address below*: