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Secure TRIPS Gift Form
 

St. Norbert College wants to protect your personal information. The information you enter into this form will be submitted over a secure connection. Please note that fields marked with an asterisk (*) are required.

* It is with PRIDE that I/we support St. Norbert College's TRIPS program with a gift of:
$1,000 $500 $250
$100 $50 $25
Other amount $


* in honor of  (list specific trip if applicable or rememberance if desired)


Double my donation:

My employer will match this gift. My employer is:

Employer not listed? Please let us know.
My spouse's employer will match this gift. My spouse's employer is:
Employer not listed? Please let us know:

Send completed matching gift form(s) to:
College Advancement
St. Norbert College
100 Grant Street
De Pere, WI 54115-2099

Personal information
* Name

Title

First

Initial

Last

Suffix
SNC
grad year
Spouse's name (if applicable)

Title

First

Initial

Last

Suffix
SNC
grad year
* Address

Address line 1  
Address line 2  
City  
State      Zip code   -
* Telephone

( ) Home Work Mobile

( ) Home Work Mobile

( ) Home Work Mobile
E-mail

* Home 

Work  
St. Norbert College affiliation  (check all that apply)

Alumnus/a Friend Parent Student Faculty/staff

* Credit card information

Name as it appears on card 

  Card number 

Expiration month     Expiration year 


Gift recognition
I/we prefer to give anonymously Yes No

If no, please indicate how you would like your name(s) to appear in any donor listings that may apply to your gift. Please leave this field blank if your preference is the same as in your personal information above.


Tell me more
Please contact me about other ways to give to St. Norbert College through estate planning, bequests and gifts of life insurance and property.

Yes No

Additional comments




Turning Responsibility into Powerful Service

Phone: (920) 403-4023
Fax: (920) 403-4092
E-mail: trips@snc.edu


St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099 • 920-337-3181