| Donor Name: |
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| Name on Credit Card if different: |
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| Home Address: |
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| City State ZIP Code: |
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| Phone: |
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| Phone Type: |
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| Email: |
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| Company Name: |
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| Title: |
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| Company Address: |
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| My Employer may match this gift: |
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| I wish to contribute to the Governors State University Foundation as designated below: |
| PRIORITY FUNDS |
| $
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GSU Fund |
| $ |
Integrating Career Preparation and Liberal Education |
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| SCHOOLS |
| $
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College of Arts and Science |
| $
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College of Business |
| $
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College of Education |
| $
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College of Health and Human Services |
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| IMPACT INITIATIVES |
| $ |
Athletics |
| $ |
Center for Performing Arts |
| $ |
Diversity |
| $ |
Dual Degree Program Scholarships |
| $
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Food and Housing Insecurities |
| $ |
Leadership and Service |
| $ |
Library and Faculty Resources |
| $ |
Nathan Manilow Sculpture Park |
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| OTHER INITIATIVES |
| $ |
President's
Excellence Fund |
| $ |
General Scholarship Fund |
| $ |
Freshman Scholarships |
| $ |
Alumni Association Scholarship |
| $ |
Nathan Manilow Sculpture Park |
| $ |
GSU Promise |
| $ |
Other: |
| $ |
Tribute Gift in Memory or Honor of: |
| Please send Tribute Donation acknowledgement to: |
| Name: |
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| Address: |
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| Total donation $ |
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| Please make my gift Anonymous |
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| I am a: |
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Thank you for choosing to support Governors
State University. Now that we know the specifics of your contribution, please use the link below to complete the payment information using our secure Authorize.net site. If you experience any difficulties, please call our gift processor at
708.235.7559. We are happy to help!
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