| Name:_______________________________________ | |
| Student ID #: ________________________________ | |
| Local Address: ________________________________ | |
| ____________________________________________ | |
| Phone #: ______________________ | |
| Email: _________________________ | |
| Contact info after May 2010 | |
| Address:_____________________________________ | |
| ____________________________________________ | |
| Phone #: ______________________ | |
| Email: _________________________ | |
| I Authorize the following gift: | |
| ___$20.10 ___$50 ___$100 __other _____ | |
| I would like to make my first alumni gift via: | |
|
___Credit Card ___Visa ___MC Card #: __________________________Code:_________ |
|
| ___Check (Please make payable to Fredonia College Foundation) | |
| ___Cash | |
| Thank you in advance! Congratulations class of 2010! Please note that all gifts will be applied to your class project on May 15, 2010 when you are officially alumni! | |