Governors State University Center for the Performing Arts Donation Form

Donor Name:  

Name on Credit Card if different:

Home Address:

City State ZIP Code:


Phone Type:  


My Employer may match this gift:  

Company Name:


Company Address:

I wish to contribute to the Governors State University Foundation as designated below:  



$Donation Amount

Tribute Gift in Memory or Honor of (optional):  

Please send Tribute Donation acknowledgement to:



Total donation  $ 

Please make my gift Anonymous


Any questions please call (708) 235-7559. Thank you.