Isenberg School 2007-2008 Annual Fund
Please complete the form below and send or fax to:
Isenberg School of Management
Office of Development
University of Massachusetts, Amherst, MA 01003-4510
Tel: 413-545-5604 | Fax: 413-545-3858
My gift to the Isenberg School of Management for 2007-2008 is $_______________
establishing me as a member of the:
____ $1000+ Dean's Circle
____ $500-$999 Commonwealth Club
____ $250-$499 University Associates
____ $100-$249 Second Century Club
____ Other
Please direct my gift to benefit:
____ the School
____ the following department or program
____ A check for $________ made payable to Isenberg School of Management is enclosed.
____ Please charge $________ to ____ Visa, ____ Mastercard or ____ Discover
Card #__________________________________________
Signature________________________________________
Expiration Date _____ (month)/_____(year)
________________________Class year:
Name
_________________________________________________
Home Address
_________________________________________________
City/State/Zip
_________________________________________________
Home Phone Number
________________________________________________
E-Mail Address
_________________________________________________
Company Name
_________________________________________________
Work Title
_________________________________________________
Work Address
_________________________________________________
Business Phone
_________________________________________________
Business Email
_________________________________________________
DOES YOUR COMPANY SUPPORT MATCHING GIFTS?
Visit the following link to find out: http://www.matchinggifts.com/umass/
__I will enclose my company's matching gift form.