Public Safety Patches
{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Current Step:
Public Safety Patches
»
Billing
»
Review
»
Finish
My gift amount
$500
$250
$100
$50
Other
Donation Amount:
$
A $10 minimum donation is required for each limited edition Public Safety Patch, but gifts of all amounts are appreciated and support the important work of the Adelphi NY Statewide Breast Cancer Hotline and Support Program!
Select Your Cause:
Designations
Adelphi NY Statewide Breast Cancer Hotline and Support Program
Selected Designations (
view additional designations here
)
How do you want to receive your patch?
How do you want to receive your patch?
Yes, please mail me a Public Safety Patch!
No, I received my Public Safety Patch in person.
Please accept my donation, but do not mail me a Public Safety Patch at this time.
Donor Information
First Name:
Last Name:
This gift should remain anonymous
Contact Information
Email:
Address:
City:
State:
Please Choose
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces - AA
Armed Forces - AE
Armed Forces - AP
British Columbia
California
Colorado
Connecticut
Delaware
Dist. Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Not in the US
Zip:
Country:
United States of America
Australia
Austria
Bahamas
Bangladesh
Barbados
Belgium
Bermuda
Brazil
British Virgin Islands
Bulgaria
Cambodia
Canada
China
Colombia
Costa Rica
Cote d'Ivoire
Croatia
Curacao
Cyprus
Czech Republic
Ecuador
Egypt
Finland
France
Germany
Great Britain
Greece
Haiti
Hong Kong
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kenya
Korea North
Korea South
Latvia
Lebanon
Lesotho
Liberia
Malaysia
Mexico
Namibia
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nigeria
Norway
Pakistan
Panama
Peru
Philippines
Poland
Romania
Russia
Saudi Arabia
Singapore
Somalia
South Africa
South Korea
Spain
Sri Lanka
St.Kitts
Sudan
Sweden
Switzerland
Taiwan
Thailand
The Bahamas
Trinidad and Tobago
Turkey
Ukraine
United Arab Emirates
United Kingdom
Venezuela
Vietnam
Zimbabwe
Cell Number:
Additional Options
Use the icon featured right to open and close each applicable section
Joint Gift
Please credit this gift jointly with my spouse/partner:
Spouse First Name:
Spouse Last Name:
Gift in Memory/Honor
This gift is in:
In honor of
In memory of
In Memoriam/Honor of:
Notification Name:
Notification Contact Information
Double Your Donation
Many companies sponsor matching gift programs that increase the impact of your gift. See if your company will match your donation! Search your employer's name.
Planned Giving
The Forever Gold Society recognizes and thanks alumni and friends who have arranged a bequest or made planned gifts to the University. Anyone who informs Adelphi that the University is named as the beneficiary of a gift through his or her estate, or through a planned gift during his or her lifetime, is automatically enrolled as a member of the Forever Gold Society.
I have included Adelphi University in my estate plans.
I intend to include Adelphi University in my estate plans.
Gift Instructions
Additional Gift Instructions:
Please Wait...