Donation and Contribution Form
Please select the type of gift you are making
 I would like to make a contribution for this term’s activities
 I would like to make a donation to the University for Seniors Fund
The amount of my contribution or donation is $ ________________
Your information
Name _____________________________________
Address_______________________________________________________________________
Mobile phone________________________________ Work or home phone__________________
Email _____________________________________
Have you participated in the University for Seniors? Past ____ Current ______ Not yet_____
Are you an AUB alumna/alumnus? Yes ______No ________
Your name as written above will be listed in the AUB Contributors Report. If you prefer to remain
anonymous please check here. 
Four ways to make your contribution or donation
1. Bank transfer
Bank Name: Citibank, NA Lebanon
Account Name: AUB Development Office - Donation Account
IBAN: LB16011500000000000600224115
Designation (payment details): University for Seniors Fund
Swift Address: CITILBBE
2. Credit Card (via the secure web option https://give.aub.edu.lb/seniors/ or using this form)
Please charge $__________________ to my  Visa  Master Card  American Express
Card Credit Number: | | |
Expiry Date______- ______
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Year
My name as it appears on credit card ____________________________________
Signature ___________________________________________________________
3. Check payable to ‘AUB’ (enclose with form)
4. Cash (enclose with form)
For credit card, cash or check payments, please complete this form and send
it to Ms. Soha Hmaidan, Director of Development Operations, College Hall 3rd
Floor, American University of Beirut, Bliss Street, Beirut. Tel: +961 1 340176