Page 1

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  

friends form

Read more
Read more
Similar to
Popular now
Just for you