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Pledge Form

Items marked with * are required.

Billing Information

*Name/Company Name

*Street Address

*City

*State

*Zip Code

Country

*Telephone Number i.e. 5705551212

*E-Mail Address

*Marywood University Affiliation

Alumnus/Alumna

Parent

Friend

Student

Staff/Faculty

Trustee

Corporations/Foundations

*Your Gift

 

$100

$250

$500

$750

$1000

$2,500

Other

*Your Gift Designation (Choose One)

Unrestricted Operational Support

The Marywood Fund

Restricted Support

Class Gifts

Special Projects

Capital Projects

Additional Information Regarding Your Gift

This gift is joint with

Spouse Other

Full name of spouse or other donor

Graduation Class

My employer will match donations

Yes No

My employer is:

My spouse's employer will match donations

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His/Her employer is:

I would like to give this gift anonymously

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Comments

 

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This page was last updated in October 2007

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