Mansfield University Home PagePersonal Checks are the most popular way to give to Mansfield
Complete, print & mail this form along with your personal check (payable to Mansfield University Foundation, Inc.) to the following address:
The Mansfield Fund
Alumni House
Mansfield, PA 16933
Please supply the information requested below. Required fields are marked with an asterisk (*)
Donor Information:
| *Name as it appears on credit card: | |
| *Last Name: *First Name: MI: | |
|
*Street Address:
|
|
|
*City: *State: *Zip Code:
|
|
| New Address? Yes No | |
| *Phone Number | |
| FAX: | |
| *Email: |
| If Alum, Class Year: | |
| Mansfield Parent?: Yes No | |
| Maiden Name (optional): | |
| Employer: | |
| Is your or your spouse's employer a matching gift company? Yes No | |
|
Employer Address:
|
|
| Business Phone: |
Gift Information
| *Are you making a payment on an existing pledge? Yes No | |
| *Gift Amount: $ .00 | |
| *Please use my gift for: | |
| Academic Program Support (Major: ) | |
| Athletics | |
| Campus Facilities | |
| Mountie Club | |
| Other | |
| Where it is needed most | |
| My gift is given: In Honor of In Memory of | |
Credit Card Information
| *Type of Card: | |
|
Mastercard |
|
| *Card Number: | |
| *Expiration Date: (mm/yy) |
| In the future, how do you prefer to be contacted about your annual gift each year? | |
| Telephone Call from a Student | |
| Request through the Mail | |
| E-mail Request | |
| Personal Visit from a Staff/ Volunteer | |
| Personal Visit from a Classmate | |
| Other/None of the Above |