| Name: |
|
| Name
if different as a student: |
|
| Class
Year and Degree: |
|
| Spouse's
Name: |
|
| Spouse's
Class Year and Degree: |
|
| Joint
Gift? |
Yes
No |
| Mailing
Address: |
|
| Home
Phone: |
(xxx-xxx-xxxx)
|
| Business
Phone: |
(xxx-xxx-xxxx)
|
| Place
of Employment: |
|
| My
employer is a matching gift company: |
Yes, paperwork is enclosed.
Yes, paperwork will follow.
No.
I don't know. |
Please
add me to the CUPPA alumni listserve.
My email addres is: |
|
Gift:
CUPPA Dean's Fund (34307)
Public Administration Fund (33421)
Urban Planning and Policy Fund (34299)
Center for Urban Economic Development Fund (34312)
Great Cities Institute Fund (31812)
Institute for Research on Race and Public Policy Fund (33562)
Nathalie P. Voorhees Center Fund (34482)
Survey Research Lab Fund (33987)
Urban Transportation Center Fund (34313)
Thelma Jackson UPP Scholarship Fund (72407)
Rob Mier Award
Total |
| |
|
Please send
me more information about:
Alumni volunteer opportunities
Certificate Programs
Planned Giving (Giving through wills, charitable trusts, pool
income fund annuities and life estates)
President's Council, a lifetime giving society
|
| |
|
My check is enclosed (payable to the University of Illinois Foundation) |
|
I wish to pay by credit card
Visa
MasterCard
American Express
Discover
Number:
Exp. Date
|
| |
|
| Signiture:_______________________________________________________ |
| |
|
| Your
gift is tax-deductable as allowed by law. Please return this form
with your gift. THANK YOU! |
| |
|
|
Simply fill
in the form, create gift form, and send it to:
Karen Berthiaume, Director of Advancement
College of Urban Planning and Public Affairs, MC350
University of Illinois at Chicago
412 South Peoria Street, Rm.128
Chicago, IL 60607
312.413.8363
fax 312.413.8095
karenb@uic.edu
|
|
