Institute for Peace Studies Donations

Amount

Gift Frequency

Gift Designation

In honor/memory of:

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Please list the address where you would like us to send notification of your honorary/memorial gift.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Does your employer/company match charitable gifts?

Please list your employer/company.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mail

Total Gift

Gift Amount

USDThank you for supporting the mission of the Institute for Peace Studies.

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

If you experience an issue with this form, please send us an email with a brief description, or call 406.657.1042. We will address the issue as soon as possible.

ID

Gift Amount*

Gift Amount