Cheverus -- Office of Institutional Advancement -- Online Giving -- Gift Received

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Online Giving

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:
E-Mail:

CHS Affiliation (Please check all items that apply.)

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

Cheverus Donor Societies
	Ignatian Circle	$2,500 +
	President's Circle	$1,000 - 2,499
	Visionaries' Circle	$500 - 999
	1917 Club	$250 - 499
	Century Club	$100 - 249
	Friend's Club	$10 - 99

Please enter an amount you would like to contribute:
$

Select Donation Type
	Pledge
	Gift

Select Donation Designation
	Challenge Drive (Annual Fund)
	Capital Campaign

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:

Credit Card:

CC# (no spaces)

EXP.

Credit Card type:

Name as it appears on the credit card:

Will mail a check, charge or money order made payable to:

Cheverus High School
Office of Institutional Advancement
267 Ocean Avenue
Portland, ME 04103

Please bill me.

Please have the Director of Institutional Advancement contact me. I wish to receive further information regarding:
          A Special Gift
          Including Cheverus in my estate planning
          Establishing a trust
          Donating appreciated securities

Thank you for your commitment to the future of Cheverus High School.