Name:	_________________________________________
Address:	______________________________
	______________________________
	______________________________
Phone #:	____ - _____ - ______
Email :	_________________________________________
Amount of Donation: $___________
	Important - Checks must be made out to:
	MU Foundation - Ed Wilson Endowment*
	*Must appear on check

 

 

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Please Print and mail this form along with your donation to:

Mansfield University Foundation

Alumni House

Mansfield University

Mansfield, PA  16933