Donation Form

If you would like to make a contribution, please type your information in the form below, print, and mail it to:

Office of Giving Programs
Syracuse University
820 Comstock Avenue, Suite 100
Syracuse, NY 13244-5040 (U.S.A.)

Please make checks and money orders payable to Syracuse University, with memo: CSTEP.
Thank you!

Personal Information:
First Name:
Last Name:
Address 1:
Address 2:
City, State, Zip Code:
Country: (If other than US)
Daytime phone/fax:
Email address:
Class year/affiliation:	(if applicable)
Social Security Number:	(optional)

Gift Information:
Total gift or pledge amount:	$(U.S. Dollars)
My gift is to be used for:

Credit Card Information:(If not sending check or money order)
Credit Card:	Master Card Visa
Credit Card Number:
Expiration Date:
Name on Credit Card:	(as it appears on card)

Gift Credit to Spouse:
Are you married to a Syracuse University Graduate? YesNo
If yes, would you like half of your gift/pledge credited to your spouse? YesNo
Name of Spouse:
Social Security Number:	(optional)
Class year:

Matching Gifts:
Does your employer participate in a matching gift program? YesNoNot Sure
If so, please indicate your company's name and mail your form to the Matching Gift Administrator at the above address.
Company Name:

Comments or Questions: