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Title

First Name *

Middle Name

Last Name *

Suffix

Status

Class Year

If you are married, did your spouse attend Brevard College?

Yes

No

I am not married

Spouse's Name

Spouse's Class Year

Street Address *

Street Address

City

State/Province

Zip/Postal

Country

Phone Number *

Single Line Text

Email Address *

Confirm Email Address *

Designation of Gift *

Brevard Annual Fund: Our Greatest Need

OtherOther

Is this a payment on an existing pledge/commitment? *

Yes

No

Credit Card

Is your billing name and address the same as above? *

Yes

No

Billing First Name *

Billing Middle Name

Billing Last Name *

Billing Address *

Billing Address

City

State/Province

Zip/Postal

Country

Amount *

Make this gift anonymous? *

Yes

No

Matching Gift

If your company or employer has a matching gift program you can increase your gift to Brevard College. Please request and complete the appropriate form from your personnel office, and provide any notes to us below.

Company Name

Details

Make Your Gift in Honor or Memory

In Honor of

In Memory of

None

Gift Name & Details

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Donation

Contribution Contact Information

Matching Gift

Recognized Honors:

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