Jenzabar University

INSTRUCTIONS

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When navigating through this form, please use the tabs across the top of the form or the Next/Continue buttons at the bottom of the form.  DO NOT CLICK THE BROWSER BACK BUTTON TO MOVE TO A PREVIOUS PAGE.  Clicking the browser back button could duplicate your form and amount sent to the payment processor.

Gift Amount (please do not add the $ sign or comma to your amount):

Please direct gift to:

Is this gift given IN MEMORY OF or IN HONOR OF (please enter details below):

Please designate an Academic Area to direct your gift or specify Greatest Need. 

Designate Sport to direct gift:

Other Information - Indicate any special instructions for handling your gift.  

Additional Gift Information

Would you like to make this a recurring gift?  

Please list the recurring gift interval:

Recurring gifts can be taken out on either the 1st or the 25th of the month - please indicate your preference:

Matched by:

Please complete this information for gifts In Honor or In Memory:

In honor/memory of (name):

In honor/memory of (relationship):

Please notify (name):

Please notify (address):

Please notify (city, state, zip):

Additional Comments:

When navigating through this form, please use the tabs across the top of the form or the Next/Continue buttons at the bottom of the form.  DO NOT CLICK THE BROWSER BACK BUTTON TO MOVE TO A PREVIOUS PAGE.  Clicking the browser back button could duplicate your form and amount sent to the payment processor.

Donor First Name:

Donor Last Name:

Donor Address:

Donor City:

Donor State:

Donor Zip Code:

Donor Country:

Donor Cell Phone:

Donor Email:

Once all information has been completed, please click the Continue to Payment button below.  The transfer to the secure website and processing from the secure site could take a few seconds, please only click the Continue button once.  Clicking a second time could cancel your transaction.