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Willed Body Program Donations

Donation Information
Amount:	$ 1,924.00 $ 1,000.00 $ 500.00 $ 100.00 $ 50.00 Other $     *
Designation:	HPU Fund for Willed Body Program Other
Other	*
Additional Information
Payment Preference:	One-time gift or pledge Sustaining gift (until you request otherwise) Multiple Installments
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer not to be listed in the annual honor roll of donors
Comments:
What prompted you to support us today?	Willed Body Program
Billing Information
Title:	Admiral Ambassador Atty. Bishop Brig. General Capt. Ch. Col. Chancellor Chief Cmdr. Col. Comm. Congressman Congresswoman Cpl. Cpl. Lt. Col. Cpt. Dr. Father General Governor Justice Lt. Lt. Cmdr. Lt. Cmdr. (Ret) Lt. Col. Lt. Gen. Lt. Governor Maj. Maj. General May. Miss Mr. Mrs. Ms. MSGT Provost Rabbi Rev. Rev. Dr. Sen. SGM Sgt. Sister The Honorable The Rev. Dr.
First name:		*
Middle name:
Last name:		*
Country:	United States Afghanistan American Samoa Angola Australia Austria Bahamas Barbados Belgium Bermuda Bolivia Bosnia and Herzegovina Brazil British Columbi British W. Indies Brunei Darussalam Cambodia Cameroon Canada Cayman Islands Chile China Colombia Columbia Costa Rica Cuba Denmark Dominican Republic Ecuador Egypt El Salvador England Europe Federation of Saint Kitts and Nevis Finland France Germany Ghana Greece Guatemala Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Ireland Italy Ivory Coast Jamaica Japan Jordan Kazakstan Kenya Latvia Lebanon Liberia Libya Liechtenstein Lithuania Malaysia Martinique Mexico Monaco Morocco Mozambique Nepal Netherlands New Zealand Niger Nigeria North Africa Northern Ireland Norway Ontario Pakistan Palestine Panama Peru Philippines Poland Puerto Rico Qatar Russia Saint Kitts and Nevis Saudi Arabia Scotland Senegal Serbia and Montenegro Seville - SPAIN Sierra Leone Singapore Slovenia Somoa South Africa South America South Korea Spain St Kitts and Nevia Sweden Switzerland Syria Taiwan Tanzania Thailand Trinidad and Tobago Turkey Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Venezuela Vietnam Virgin Islands West Africa West Indies Yemen Zambia Zimbabwe	*
Address lines:		*
City:		*
State:	<Please Select> AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AA AB AE AP BC CZ FM GU MB MP NB NL NS NT NU ON PE PW QC SK YT VIC NSW ten KA	*
ZIP:		*
Phone:		*
Email:		*
Payment Information
Payment Method:	Credit Card Pledge
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	Visa American Express Diners Club Discover JCB MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043	*
Card Security Code:		*
Matching Gifts
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Company:		*
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Tribute Information
Type:	In Honor of In Memory of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*

High Point University is a registered 501(c)(3) non-profit organization. Gifts to the University are tax-deductible to the extent allowed under Federal Law and IRS tax code. Please consult your tax or accounting professional for further guidance.

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