Recurring Gift Form

Recurring Gift Amount

Monthly Donation

USD for each month

Gift Fund*
Yes, please send me the coaster set.No gift, please.
Your Information
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Donor Recognition Name
I would prefer to remain anonymous. Please do not publish my name on donor lists.
Donor Comments/Message
In Honor OfIn Memory Of
In Honor Of/In Memory Of
Please list the individual's name
Please send an acknowledgement, without reference of the amount to:
Please include name and address
AlumniCurrent Parent(s)Parent(s) of AlumniBoard of TrusteesFaculty/StaffFriendGrandparent(s)Other
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Do you have any news to share? What have you been up to?
Any questions? Contact the Development Office at development@averycoonley.org.
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