Donor Information

Title
First Name*
Middle Name
Last Name*
Country*
Address*
City*
Postal Code*
Email*
Confirm Email*
Phone*

Gift Information

Donation Amount*
  • $1000
  • $500
  • $250
  • $100
  • $50
  • Other $
Fund
  • Annual
  • General Scholarship
  • Work Program
  • Capital-General
  • Anderson Renovation
  • Recreation, Athletics & Fitness
  • Residence Halls
  • Technology
  • Other

Tribute Information

Complete this section only if this is a gift in tribute to someone.

Tribute Name

Matching Gifts

Many employers offer matching gift programs that increase the impact of your gift and make a difference at Blackburn College. Check with your employer to determine whether your company will match your gift to Blackburn College.

 

  My company matches gifts.

 

  My spouse's company matches gifts.

 

Complete the company's matching gift form on line at the company's website, if available, or complete and mail the company's matching gift form to Blackburn College, Development Office, 700 College Ave., Carlinville, Illinois, 62626. 

Request Information

 

 
 

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Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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