GIFT FORM
Date:__________________
Please use my gift of $______
The greatest area of need at UNLV
This designated college, department, or program*:_____________________________
Tribute Information:
Select one: In Honor of In Memory of
Name:_______________________________________________________________
Donor Information:
Name_________________________________________________________________
Maiden name_____________________ Major and class year_____________________
Home phone (____)_________________ E-mail_______________________________
Address _______________________________________________________________
______________________________________________________________________
Employer______________________________________________________________
Professional title ________________________________________________________
Business address ________________________________________________________
______________________________________________________________________
Spouse________________________________________________________________
Spouse alumnus/a YES NO
Enclosed is my:
Check made to: UNLV Foundation
Is this a company card YES NO
Visa MasterCard Discover American Express
Card Number________________________________________________ Exp.___/___
Name as it appears on card________________________________________________
Thank you for your gift to UNLV!
Please mail this form to: UNLV Foundation
4505 S. Maryland Parkway, Box 451006
Las Vegas, NV 89154-1006
*A small reinvestmend fund contribution will be assessed on all gifts to
cover the costs associated with their administration.