APS Foundation Donation Form

Please fill out the form below, print, and send in with your payment.

Name:
Address:
City:
State/Zip:
Country:
E-mail:

Yes, I want to support the APS Foundation by contributing to: (please check the fund or funds you would like your donation to go to. For a description of the fund, please click on the name.)

APS Foundation Endowment JANE Fund (Late Blight Projects) I. E. Melhus Fund (Student Speaker) Lucy Hastings de Gutierrez Fund (Teaching) Frank L. Howard Undergraduate Fellowship International Travel Fund Mathre Education Endowment Fund French-Monar Latin American Fund 100 for 100th Centennial Fund Named Student Travel Fund, specify or leave blank for general Annual Giving (Where need is greatest) Other (please specifiy):

I want to donate $

I will donate by:

Cash/Check  (Please make checks payable to the APS Foundation) Credit Card (select below) VISA Mastercard American Express Cardholder: Card #: Expiration Date:   Signature: _______________________________________

Please print this form and fax to: +1.651.454.0766 or mail, along with your donation, to:

APS Foundation 3340 Pilot Knob Road St. Paul, Minnesota 55121

For further information, contact an APS Foundation Board member.

Thank you for your support.
 

© Copyright 2006 by
The American Phytopathological Society