Michigan Tech Community

Participation Form: Class of 2008 Tribute Gift Program
(Please complete the entire form.)

Student Information:
Name:
Address:
City:
State:
Zip:
Phone Number:
Email:
Graduation/commencement month: May 2008 December 2008

 I understand the minimum gift amount is $20.08 to participate in the tribute video and have a certificate of thanks sent to the person(s) of my choosing.

Please send a thank you notice to the following:

First Party

  
Name:
Address:

Second Party (Optional)

 
Name:
Address:

Gift Fulfillment Options:

  
I prefer to make my gift with a credit/debit card. (You will be redirected to our Secure Gift Web Page to place your gift)
I prefer to make my gift using my Tech Express Card.  (You will be redirected to our Express Cash Tech Fund Gift form.  Complete and print this form and bring it to the Tech Express office in the MUB.)

My check, payable to Michigan Tech Fund, will be sent through campus mail to: Michigan Tech Fund – Class of 2008 Tribute Gift (Please note that intercampus envelopes are available at most offices around campus)