Class of 2009 Senior Gift Campaign Pledge Form
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Yes, I would like to give to the Class of 2009 Senior Gift Campaign.
$20.09
$50.00
$100.00
$250.00
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Please direct my gift to the following beneficiary:
Haas Undergraduate Programs (N1235)
The Class of 2009 Endowed Scholarship Fund (W6297)
Other Cal program
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Payment Options
(to pay by credit card, go to http://givetocal.berkeley.edu and search for "senior class gift")
Bill me for a single payment in full.
Bill me for monthly payments.
Bill me for quarterly payments.
Other
How did you find out about the senior gift?
Mail
Telephone Call
Email
Website or Facebook
Contacted by a friend/classmate
If you were contacted by a friend or classmate, who contacted you?
Personal Information
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Name
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Student ID Number
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Email Address
You may publish my name in the Senior Class Gift Honor Roll.
Special Instructions
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Indicates Response Required
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