Emory Annual Fund
815 Houston Mill Road
Atlanta, Georgia 30322
404.727.6200
www.alumni.emory.edu
Please Remit to:
Alumni & Development Records
Emory University
1762 Clif ton Rd. NE
Atlanta, GA 30322-4001
404.727.8774
eurec@emory.edu
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Please credit my gift to:
Allied Health
$__________________
Nursing School
$__________________
Business School
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Oxford College
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Dentistry
$__________________
Public Health
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Emory College
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Theology School
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Graduate School
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General University
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Law School
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Other
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Libraries
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Please Specify _______________________
Medical School
$__________________
® I have enclosed a check for $_________________ payable to Emory University.
To charge your gift or utilize other payment options, please see the reverse
side of this form. The fiscal year begins September 1 and ends August 31.
Please send your gift by August 31 to ensure listing in the annual Donor Report.
Gifts are tax-deductible to the extent provided by law.
® YES , I want to help the Emory Annual Fund raise critical funds for Emory University’s schools
and colleges. That’s why I have enclosed my gift to the Emory Annual Fund in the amount of:
® $100 ® $250
® $500
® $1000
® $2500 ® Other _________________
® I would like to pledge this amount
to be paid before August 31.
(Please complete the payment schedule on
the reverse side to indicate when we should
remind you of your pledge.)
__________________________________________________________
Name
_________________________________________________________
Address
_________________________________________________________
City
State
Zip
® I wish to make my gift by direct
electronic funds transfer (EFT) from my
checking or savings account. (You will be
mailed an authorization form.)
MATCHING GIFT PROGRAM
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