Southwestern

Engaging Minds, Transforming Lives

Pirate Change

Affiliation:

Alumnus/a Parent Student Friend Employee

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Other:

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This gift is in   honor of or   memory of .

Designations:

If multiple designations are selected below, your gift will be distributed evenly among your selections. If you want to designate specific amounts towards your selections please specify in the Special Instructions for Designations below.

Other Designation

Personal (or Billing) Information:

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Spouse: Class Year
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Employer Gift Matching

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My company matches gifts and I will submit my form to Southwestern University.



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