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Join Friends

Friends receive priority seating before the general public. Orders must be received by June 17, 2011.*

N ame S treet C ity

State

Zip

Day Phone

Email r YES, Please add me to the convocations email update/new-show announcement list.

My gift to Friends of Convocations:

(minimum gift of $50 for priority seating)

$

Matching gift to Convocations from my employer:

$

Total Gift:

$

( include matching gift form)

RF 1180 10734

GIFT INTENT:

r area of greatest need r to support: _______________________________

This gift is $100 or more. List me/us in the program as follows:

PAYMENT OPTIONS: r CHECK: make checks payable to Purdue Foundation. r CREDIT/DEBIT: charge my r Visa r MasterCard r Discover NAME ON CARD

CARD # EXPIRATION DATE SIGNATURE REQUIRED

r RECURRING GIFT: please contact me to set up a monthly or quarterly gift. r PAYROLL-DEDUCTION: please send me the Purdue payroll-deduction form. r PLANNED GIFT: i would like more information about making a planned gift

to Purdue

Convocations.

Return this completed form and check (if applicable) to: Purdue Convocations ENAD 112, 400 Centennial Mall Dr. West Lafayette, IN 47907-2016

Ph: (765) 494-9712 convocations@purdue.edu

* Friends are seated first by priority point total and then by the date the order is received. Gifts are tax deductible to the extent allowed by law.


Friends form