MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE

2007 – 2008 ANNUAL FUND GIVING FORM

Name(s)________________________________________________________________

SOM Class Year(s)__________________  Email Address________________________

Address________________________________________________________________

City_________________________________State___________Zip Code____________

Phone (home)________________________(business)______________________(mobile)___________________

Enclosed is my (our) gift:   

Make checks payable to the MU Foundation and return in the enclosed postage-paid envelope. Thank you for supporting the Joan C. Edwards School of Medicine.

___________ $15,000* and above      John Marshall Society

____________$10,000 to $14,999      Founder’s Circle

____________$ 1,000 to $9,999         Dean’s Associates

____________$   500 to $999             Doctors’ Memorial Society

____________$   100 to $499            New Century Club

____________$       1 to $99              Benefactors

______Visa               _____MasterCard      ______Discover      _____American Express

Card number___________________________Expiration Date_____________________

Signature________________________________________________________________

Unless otherwise indicated, your gift will be used where most needed.  Your annual fund gift can be designated for an existing scholarship, department, or program.  If you choose to designate your gift, please indicate your designation on the memo line of your check or on the giving form.  If you have any questions or need additional information, please contact Linda Holmes, Director of Development and Alumni Affairs, at 304/691-1711 or  at holmes@marshall.edu.  Written correspondence to be directed to MU Medical Center, 1600 Medical Center Drive, Huntington, WV 25701, Attn:  Linda Holmes.
 

A minimum gift of $15,000 is needed to endow a scholarship.