Donation - SAIC

	About You
Title
First name*
Middle initial
Last name*

	Spouse/Partner Information (if applicable)
Title
First name
Middle initial
Last name

	Relationship to SAIC
	Alumnus/a or former SAIC student Last Name at Graduation Class year Parent of alumnus/a or current student Name of Student Other

	Address Information We will need this information to process your gift.
	My address has changed recently
Address type	Home Business
Address*

City*
Postal code*	–
Country*
State/province*
Phone type	Cell Business Home
Phone*	( ) - -
Email*
	I would like to receive SAIC News and Events
	Via: Email Mail


	About Your Gift
Donation amount*	1,000 750 500 250 100 80 50 Other $ I will seek a matching gift from my employer. Company name
	I would like this gift to remain anonymous. This donation is in memory of: First name* Last name* Please notify the following person(s) of my donation: The family will be notified of your donation in the mail. First name* Middle initial Last name* Address City Country State/province Postal code – This donation is in honor of: First name* Last name* Please notify the following person(s) of my donation The honoree will be notified of your donation in the mail. First name* Middle initial Last name* Address City Country State/province Postal code -

You may also make a donation over the phone by calling the SAIC Office of Institutional Advancement at 312.499.4190. Thank you for supporting SAIC!

About You