Donation Form

Human Kinetics and Health Education Donation Form


UW Oshkosh Department of Human Kinetics and Health Education

 

 

Yes! I/we support the Department of Human Kinetics and Health Education!

 

Name: __________________________________________________________________

 

Address: ________________________________________________________________

 

City, State, Zip: ____________________________________________________________

 

Telephone: _____________________________e-mail: ____________________________

 

 

Enclosed is a gift in the amount of $___________________.

(make checks payable to the UW Oshkosh Foundation - HKHE)

 

Or charge my:  VISA      MASTERCARD     AMERICAN EXPRESS

in the amount of $_________________ of the Department of Human Kinetics and Health Education

 

____________________________________  ___________________________________

Account Number                                                         Expiration Date

 

 

Signature________________________________________________________________

 

Send Donation to:

Department of Human Kinetics and Health Education
Albee Hall 108
800 Algoma Blvd.
Oshkosh, WI 54901

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