EmailMe Form - Band Uniform Fundraising Campaign

I would like to *
Purchase a Band Uniform ($600 per uniform)
Make a Donation towards the purchase of a uniform
Number of Uniforms *
Donation Amount
$250
$100
$50
$25
Other Donation Amount
MY INFORMATION
Name: *
Prefix First Last Suffix
Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email: *
I am a/an: *
Class Year:
If alumnus please enter 4-digit class year, e.g., 1973.
Would you like to receive occasional email updates from the University? *
Yes
No
Budget/Revenue Code