Town and Gown Membership-

Town and Gown Membership

Current: Town and Gown Membership- -> Billing -> Review -> Finish

Town and Gown Membership

Business/Organization Name:

Business Contact Name:

First Name: Required Field

Last Name: Required Field

Primary E-mail: Required Field

Contact Cell:

Address 1: Required Field

Address 2:

City:

State:

Zip:

Recognition in publications should be listed as:

Additional Contact Name

Additional Contact E-mail

Thank you for fulfilling your Town and Gown partnership pledge by making a gift of $2000.

To make a payment by check please download a printable form.

Gold $2000 |Silver $1000 | Nonprofit $250

Donation Amount Required Field

Payment Frequency

I would like to make Scheduled Payments

For more information about Town and Gown please contact Dr. Tina Bernot at 270-809-3250 or cbernot@murraystate.edu