UBTech Online Foundation Donation Form

Thank you for your interest in donating to
Uintah Basin Technical College!

You can donate online, by mail-in check, or come into either the Vernal or Roosevelt Campus.
Full Name

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number

Area Code Phone Number
E-mail
Please contact me further with information about:

Donating to a specific program. Leaving a donation in my will.
Reason for donation:
Giving day, special event, received mailer, in memory of, etc.

Donation Amount

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