SJCAA Bicentennial Women Learners Fund

Please fill out this form, print and mail it with
payment information or a check to:

St. Joseph College Alumnae Association, Inc.
P.O. Box 1149
Emmitsburg, MD 21727-1149 USA
or call 301.447.6052

DONATIONS
Donation to the Bicentennial Women Learners Fund:
Fund Donation 
  $  
   
DUES
All dues and donations are tax-deductible; if you are not a member, please consider joining today!
Regular   $50
Sustaining   $65
Other   $

*If circumstances make it difficult to send the full amount, please submit what you can afford.
   
TOTAL ENCLOSED
  $
   
PAYMENT & MEMBERSHIP INFORMATION
please provide all requested information
Name:
Address:
    
City:
    
State:
    
Zip Code:
   
Phone:
    
Email:
    
Class Year:
    
Your information is confidential and will not be sold to another entity.
Check enclosed
Credit Card Payment
VISA      Mastercard
Card Number
Name on Card
Security Code
Exp date
Signature