Give to OU by Mail - Division of Development, Alumni and Community Engagement

Print and complete this form, then mail it with your gift to:

Gift Accounting
John Dodge House
Oakland University
2200 N. Squirrel Rd
Rochester, MI 48309-4497

Donor Information

Name
First Name:
Middle Initial:
Last Name:
Home Address
Street:
Apartment:
City:
State/Province:
ZIP Code:
Phone:
E-mail:
Employment Information (optional)
This is a matching gift company. Please submit your company's matching gift form with your contribution.
Employer:
Work Address:
City:
State:
ZIP Code:
Work Phone:
Extension:
Occupation:
Title:
Oakland University Association
I am a/an:
For OU Alumni
I am a graduate of the:
Gift Information
Gift Amount
I would like to make a gift of $
Check is enclosed (payable to Oakland University)
Charge this gift to my
Credit Card Number:
Expiration Date:
Name as it appears on card:
Gift Designation
I would like to designate my gift to support
My gift is unrestricted, please use where the need is greatest.
Honorary or Memorial Gift
Please complete the following if your gift is an honorary or memorial gift:
This is an honorary gift, recognizing for .
This is a memorial gift in memory of .
Honoree Information
Name:
Address:
City:
State:
ZIP Code:
Memorial Gift Information
Next of Kin:
Address:
City:
State:
ZIP Code: