Friends receive priority seating before the general public. Orders must be received by June 17, 2011.*
N ame S treet C ity
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:
( include matching gift form)
RF 1180 10734
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
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 firstname.lastname@example.org
* 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.