Cheverus -- Office of Institutional Advancement -- Online Giving

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Online Donation Form

First Name:

Middle Name:

Last Name:

Home Address Line 1:

Home Address Line 2:

City:

State:

Zip:

This is a new address: Yes No

Home Phone:

Email:

CHS Affiliation (Please check all items that apply.)

Alumnus:	Class of:
Current Parent:	Class of:
Past Parent:
Grandparent:
Faculty / Staff:
Friend:

Please enter an amount you would like to contribute: $

Select Donation Type
	Pledge
	Gift

Donation Designation
	Would you like to direct your gift to a particular area or fund (e.g. specific scholarship, general fund, etc.)

Please send notification to:

The address above:
OR
Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:

I wish this gift to remain anonymous

Payment Method

I will send a check.
Please bill me.