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Please: 1. Print this page 2. Complete the form 3. Enclose the form + your check (unless using a credit card) and mail to: |
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California State University, Los
Angeles |
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Yes! I/we would like to become a member of Friends of Engineering, Computer Science, and Technology (FECST) at California State University, Los Angeles. I/we have enclosed a contribution for the current academic year and have checked the appropriate category below. I/we understand that contributions are tax deductible and will be used to support Engineering, Computer Science, and Technology programs at CSULA. |
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| ___ Friend of ECST ($100) ___ Sustaining Member ($150) ___ Patron ($200) |
___ Sponsor ($300) ___ Benefactor ($500) ___ Distinguished Benefactor ($1,000 or more) |
___ I have enclosed a check for $____________ made payable to Friends of ECST. ___ You may charge this donation to my ___Mastercard ___Visa account. Card#________________________________ Exp.
Date________________________ |
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Please print your
name(s) exactly as you wish it to Name(s)_______________________________________________________________ Street Address__________________________________________________________ City___________________________________ State_____ Zip Code_____________ Telephone (____) __________________ Email address:_________________________ If your employer supports matching gifts, please list your company name below: ______________________________________________________________________ |
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Thank You!