EMU Student Affairs

Support the Division of Student Affairs...

To make a gift you may use the following form. If you prefer to call, contact the Office of Development at 734.484.1322, or write them at
1349 S. Huron St., Ypsilanti, MI 48197.

Be sure to tell them your gift is for the Division of Student Affairs!


	Required Information:
Full Name:
Maiden Name:
Street Address:
City, State, ZIP:
Class Year(s):

	Optional Information:
Phone Number:
E-mail Address:
Name of Employer:
Business Address:
City, State, ZIP:
Business Phone:
Soc. Security #

Gift Amount $
Is your employer a Matching Gift Company? Yes No
Which Company?
	Please pick up a matching gift form from your Human Resources department and mail it to the EMU Foundation.

Total Amount Pledged $
Number of Payments:
Frequency:
Beginning:

MC/Visa Number:	---
	Personal Card Company Card
Expiration Date:

Gift Designation:
Please send me information regarding:

Upon receipt of your gift a tax receipt will be issued and the EMU Foundation will send you any additional information that you desire.

Thank you for supporting the Division of Student Affairs!