Annual Fund Form - Office of Institutional Advancement

Giving Form

for Foundation and Alumni Association

Please fill-out the form below online, print out and mail to the address below.

Name/s:
Home Address:
City:
State:
Zip:
Home phone:
Home email:
Business phone:
Business email:
This gift may be acknowledged in the Annual Report of donors.	Yes No
I/we am/are pleased to make an annual gift for the total amount of:	$1,000 $500$250 $100 $50 Other
Designate your gift to:	CCRI Alumni Association Annual Fund CCRI Foundation Annual Fund CCRI Foundation Imagine Campaign (Imagine Campaign) Scholarship(view scholarships) Other (view giving options)
Payment enclosed:
Balance due:
	The pledge will be paid:
In full:
In monthly payments:	beginning for months
Charge to:	Visa MasterCard American Express
Credit card number:	Exp. date
Amount:
Name that appears on card:
	(See details about making your gift "in honor or memory of" below)

In Honor or Memory of...

Your gift may be made in honor of or in memory of a loved one, family member or friend. It will be acknowledged promptly, and an appropriate note will be sent to the person you designate informing them of your thoughtful gesture.

I wish to make a gift:	(in memory of) OR (in honor of)
Name:
Please notify:
Name:
Address:
City, State, Zip Code

When finished, please print out and mail to the address below.

If you have any questions, please contact Office of Institutional Advancement at 401.333.7150.

All gifts are deductible as allowed by related tax laws. Please make checks payable to CCRI Alumni Association or Foundation and mail to:

CCRI Alumni Association/Foundation
PO Box 55364
Boston, MA 02205-8536