Gift Information

Donation Amount*
$
Fund Specification (Other or Special Projects/Programs)
In Memory / Honor of

Send a memorial or honorarium acknowledgement on my behalf to:

Acknowledgement Name
Acknowledgement Address
Acknowledgement City
Acknowledgement State
Acknowledgement Postal Code

 

My employer has a matching gift program
  • Yes
Employer Name
Please send me information about bequests, trusts, insurance, gifts of real and personal property, and other ways of giving
  • Yes
My estate plans already provide for Regina
  • Yes

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

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