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December 11 - Boston

8:00 PM - Christmas Vespers Concert

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This gift counts toward an existing pledge.

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I wish my gift to remain anonymous.

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My gift will be matched by my employer.

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If yes, please indicate the company name and mail your matching gift form to address below.

Company name:

If this gift is in honor or in memory of an individual, please indicate.

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	Name of individual:

Please identify your status:

I / We authorize Mount Holyoke College to charge a gift of $ * to the credit card referenced below.

Unless noted at bottom of this form, all gifts will be credited to the Annual Fund.

One-time gift
(debited in this transaction)

Recurring gift
(This option requires the following two fields to be completed)
(debited on the 15th of each month, according to the schedule below)

Gift Payments of: $	per month, starting 12/15/2009
Number of Payments:

(Gift must be completed by June 30 or reunion.)

To deactivate your debit schedule, email: campbelm@mtholyoke.edu

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To establish a gift annuity with a credit card, please call 800-MHC-GIVE.
* Credit Card #
* Expiration Date
* Your Name
* Class
* Name on Card	(Exactly as it appears on your credit card.)
* Billing Address

* City
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* Zip Code	–
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* Phone
* Email
Home Address	(If different than billing address.)

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This page maintained by Office of Development. Last modified on September 9, 2009.