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Personal Information
Name as it appears on your credit card:
Street Address:
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Guam Marianas (CNMI) Micronesia (FSM) Puerto Rico Virgin Islands Washington D.C.
Country:
Telephone:
E-Mail Address:
Telephone and e-mail information helps Neumann in case we have a question about your gift. Your address information allows us to send you a receipt so that you may claim your tax-deductible contribution.
Giving Information
Please accept my gift of $
I would like my gift to be be made in honor/memory of :
Double or triple your money? You or your spouse's employer may match your contribution to Neumann University.
Do you or your spouse work for an employer with a corporate matching gift program? Yes No
Company Name
To find out if you and/or your spouse's employer have a matching gift program, contact the Neumann University Office of Institutional Advancement by calling 610-558-5638 or via e-mail at farrellc@neumann.edu.