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


