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Donor Information

Title:
First Name:*   M.I. Last Name:*
Address 1:* Address 2:
City:*    State:*
Zip Code:* Country:
Daytime Phone:* Secondary Phone:
Email Address:
Affiliation with MSMC (check all that apply):
Alumna/Alumnus Friend Spouse Also Alumna/Alumnus Business
Parent of Current Student Trustee Parent of Alumna/Alumnus Faculty or Staff

If Alumna/Alumnus: Degree: Grad Year:
If Spouse Is Also Alumna/Alumnus: Spouse's Name:
Degree:

Grad Year:
If Parent of Current Student: Student's Name:
If Parent of Alumna/Alumnus: Alumna/Alumnus' Name:


Matching Gifts:
Click here to see if your employer or your spouse’s employer will match your gift to Mount Saint Mary College
I plan to apply for matching gifts from my company.
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I’m interested in making a gift of stock or securities to Mount Saint Mary College.
Please send me instructions about how to make an electronic transfer of stock/securities.

I'm interested in learning about the benefits of including Mount Saint Mary College in my retirement or estate planning. Please send me information about:
Including the Mount in My Will
Charitable Gift Annuities or Life Insurance



While gifts of any amount are important and appreciated, please consider becoming a member of one of the Mount's leadership giving clubs. Members of these clubs help to set the pace for annual support to the Mount.

LEADERSHIP GIVING CLUBS:
  • 1959 Society ($10,000 and above)
  • Dominican Society ($5,000 - $9,999)
  • Aquinas Society ($2,500 - $4,999)
  • Trustees Club ($1,000 - $2,499)
  • President’s Club ($500 - $999)
  • Dean’s Club ($250 - $499)
  • Century Club ($100 - $249)
Gift Amount:* $

Designation:*
MSMC Annual Fund
A Call to Excellence: The Campaign for the Dominican Center
Capital Campaign Pledge Payment
Other (Please Explain)

Gift in honor of:
Gift in memory of:
Comments:




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