Personal Checks are the most popular way to give to Mansfield

Complete, print & mail this form along with your personal check (payable to Mansfield University Foundation, Inc.) to the following address:

The Mansfield Fund
Alumni House
Mansfield, PA 16933

 
Please supply the information requested below.
Required fields are marked with an asterisk (*)
Donor Information:
*Name as it appears on credit card: 
  *Last Name: *First Name:    MI:
*Street Address:
*City:  *State:  *Zip Code:
New Address? Yes    No
*Phone Number  
FAX:
*Email:
 
If Alum, Class Year:
Mansfield Parent?:   Yes    No
Maiden Name (optional):
Employer:
Is your or your spouse's employer a matching gift company? Yes   No

Employer Address:
Business Phone: 
Gift Information:
*Are you making a payment on an existing pledge?  Yes   No
*Gift Amount: $  .00
*Please use my gift for:
   Academic Program Support    (Major: )
   Athletics    
   Campus Facilities
   Mountie Club
 Other 
  Where it is needed most
My gift is given:  In Honor of     In Memory of
Credit Card Information:
*Type of Card:
 Mastercard 
 Visa
*Card Number: 
*Expiration Date: (mm/yy)
 
In the future, how do you prefer to be contacted about your annual gift each year?
 Telephone Call from a Student
 Request through the Mail
 E-mail Request
 Personal Visit from a Staff/ Volunteer
 Personal Visit from a Classmate
 Other/None of the Above