Personal Information

* Required

• * First Name:
• Middle Name:
• * Last Name:
• * Address:
  
  
• * City:
• * State:
  AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• * Zip:
• Alumni ID Number:
• * E-mail Address:
• Work Phone:
• *Home Phone:

Billing Information

Same as personal information

• * First Name:
• Middle Name:
• * Last Name:
• * Address:
  
  
• * City:
• * State:
  AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• * Zip:

Gift Information

Please fill in the amount you would like to donate.

Our Giving Levels

• $50
  Black & Gold Sponsor
• $150
  Campus Advocate
• $350
  University Supporter
• $675
  Student Sponsor
• $1,000
  President’s Associates
• *Gift Amount:
  $
• *Gift Frequency:
  One Time
  Currently only accepting one time gifts.

Please tell us where to direct this gift.

• Gift Designation:
  Annual Fund, unrestricted.
  For the following college/school, department, program, or special campaign.

Additional Information

• * What prompted you to make this gift?
  Received a solicitation letter in the mail
  Received e-mail solicitation
  Received pledge reminder letter
  Student phone call
  Contact with a development officer
  Other:
  

I would like to receive more information about Estate Planning.
I have left Cal State L.A. in my will.

Matching Gifts

I work for a company that will my match my/our gift to Cal State L.A.
My spouse works for a company that will match my/our gift to Cal State L.A.

Cal State L.A. Affiliation

Alumna/us

• Class of
• Degree(s)

Parent

• Child Name(s)
• Class(es)

Friend of Cal State L.A.
Cal State L.A. student.