Online Donation

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ANNUAL FUND GIFT FORM

Thank you for making a pledge to the Moravian Academy Annual Fund. Please provide the information requested below and click the "Submit" button. Your pledge will be recorded and an acknowledgement will be mailed to you.

All pledge payments are due by May 31, 2009, in order to count in the Annual Fund for 2008-2009.

Yes, I / we would like to help Moravian Academy meet its greatest needs by
donating a gift of $ ($xx.xx)
(excluding match below).

I would like to transfer stock to pay my pledge.

My / our gift will be matched by:

(Company name)
(Please obtain and forward a matching gift form.)

I would like my gift to support:

MA's Greatest Needs

Financial Aid

Faculty

Athletics

Libraries

Fine and Performing Arts

Personal Information:

[fields with an asterisk* are required]


* First Name:
* Last Name:
Maiden Name, if applicable:
Class Year:
* E-mail Address:	(This is required to confirm receipt of form.)
* Phone:
Postal Address:

City:
State:
Zip:
My spouse is also a Moravian Academy graduate. Please credit this gift jointly.
Spouse's maiden name, if applicable:
Spouse's Class Year:

Method of Payment:


	Credit Card
* Credit Card Type:
* Name on Credit Card:
* Credit Card Number:
* Expiration Date:	(mm/yy)
* Security Code:	(What's this?)

	Check
	If you are paying by check, please write WEBSITE on the memo line for reference. Please make your check payable to: MORAVIAN ACADEMY 7 E. Market St. Bethlehem PA 18018

	Bill me

Development

	Annual Fund
	Moravian Academy Ball
	Giving Opportunities
	Merle-Smith Society
	The Naomi Haupert de Neufille Society
	Online Donation
	Ways of Giving

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