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Gift Amount and Designations

Gift Amount:
$ required
Designations required
Selected Designations (edit)
Name Amount Percentage
Levine Director Fund $ %
Total: $0.00 0%
Other Designation Not Listed:
Payment Frequency

Donor Information

Prefix:
required
First Name:
required
Maiden Last (if applicable):
Last Name:
required
Suffix:
Affiliation:




required
Preferred Class Year:
List me as "anonymous."
Please note that lists of donors will not include the exact amount of any gift.

Contact Information

Home Address 1:
required
Home Address 2:
City:
required
State:
required
Zip:
required
Country:
Personal E-mail:
required
Home Phone Area Code:
Home Phone Number:

Additional Information

Please use the icon to the right to open and close each category.

Matching Gift
Employer Matches Gifts:
Employer:
Joint Gift
Joint with Spouse:
Spouse Prefix:
Spouse First:
Spouse Middle:
Spouse Last:
Spouse Suffix:
Spouse Employer:
In Honor/Memory
This gift is:
Name:

Please Notify:

Name:
Address:
City/State/Zip:
On Occasion of
On the Occasion of:
I would like someone to contact me about making a gift of life insurance, property, appreciated securities and/or about including the university in my will.
Additional Gift Instructions
Additional Gift Instructions:
AC Event