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Membership Application

 
Please complete the following pages so that we may receive and acknowledge this transaction as quickly and easily as possible. The UT Foundation assures you that all sensitive data and personal information involved in the online process is handled through our secure server.
1. Enter your biographical info:
Required First Name:
Required Last Name
Required Campus:
Required College:
Required Department::
Required Mail Stop :
Required Rocket ID :
Required Email:
Required Home Address:
Required City:
Required State:
Required Postal Code:
Primary Phone:
Other Phone:
Membership information:
   
 
$
Additional gift in support of the University Women's Commission Scholarship: $
Total amount:
$
Special instructions:
 
What is your payment method?
A) I am paying by electronic check or Credit Card. (Your payment information will be processed immediately upon submitting the page.)

B) I will mail a check or money order for the entire gift made payable to:
The University of Toledo Foundation
PO Box 586
Toledo, OH 43697-0586

(If sending a check or money order, please indicate the area of support or fund name on the memo line for reference and include a copy of your confirmation page.)


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