Phonathon Donation Form

2012 Alumni Phonathon Donation Form

On September 10-11, student volunteers will be calling AGTS graduates for our tenth Annual Alumni Phonathon. Past phonathons have been a huge success because of alumni like you. Alumni have contributed nearly $200,000 in recent years through the annual Alumni Phonathon – this year we need to raise $170,000 before Dec. 31, 2012 to qualify for $95,000 in challenge grants.

Phonathon Sponsors

You can make your gift via the form below. Thank you for your kind support!

*Required fields.

*Last Name:

*First Name:

Middle:

*Email Address:

*Please confirm Email Address:

*Address1:

Address 2:

*City, *State, *Zip:

Country:

*Phone:

Alternate Phone:

Fax Number:

*Amount:

$25 $50 $75 $100 $250
Other: $

*How do you plan to pay? Visa MasterCard Discover

*Credit Card Number:

*Expiration Date:

*Card Security Code: What is the card security code?

*Name as it appears on credit card:

Updated: Monday, October 15, 2012 2:46 PM