2008 Annual Fund Donation Form

Enclosed is my special gift to support the Harvard Chaplaincy and the Harvard Catholic Student Center and programs:

$5,000   $2,500   $2,500   $1,500 $1,000   $500   $125   $75  
Other $_______________________

MC VISA AMEX  
Card Number: __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __  exp. ____/____

Check enclosed. Please make checks payable to HCSC. All donations are tax deductible.

I would like to make a gift of securities. Please contact me.

My Company ______________________________________ will match my gift.
(Please enclose the company matching gift form).
(Note: Unfortunately, the HSC cannot accept gifts which are to be matched through credit cards)

Please designate my gift (check one)  in honor   or    in memory of:

Name: ________________________________________________________
Street:_________________________________________________________
City:_______________________________ State:________ Zip:___________
Class/Degrees:__________________________________________________
Class/Degrees:__________________________________________________
E-Mail:________________________________________________________

I/We would like to be listed as follows: ______________________________________________________

I/We would prefer not to be listed.