Central Methodist University Alumni

* indicates required fields

Donor Information:
Title
First Name*
Last Name*
Middle Initial
Suffix (example, Jr.)
Street Address*
Address (cont.)
City*
State*
Zip/Postal Code*
Country
Phone
Fax
email Address
Gift Amount
Designation
	If OTHER, please specify here. If spouse is to receive gift credit, please include that additional information here.
Donor Information:
Credit Card Number
Type of Card
Expiration
Card Holder Name

Corporate Matching Gift:
I am mailing a corporate matching gift form to provide additional support for Central Methodist University. Forms are usually obtained from a corporation's human resources office. Please mail completed matching gift form to: Office of Advancement Central Methodist University 411 Central Methodist Square Fayette, MO 65248
Optional -- This gift is in honor or memory of:
In Honor of
or
In Memory of
Other Relevant Information
I wish to talk with a CMU representative about a commemorative gift or special giving opportunities.
To be included in the Honor Roll of Donors for the current fiscal year, please make your gift by June 30. Your contribution is deductible to the extent allowed by law.