Information Services Department Donors Request

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Information Services Department Donors Request
To request a list of donors for informational purposes, not for mailing or emailing.
Email the completed form to [email protected]
Department: ________________________________________
Purpose of List:
Honor Roll of Donors for Newsltter
Mailing List for Thank you notes
Other:__________________________________
Date Requested: ____________ Requested By: ______________ Date Needed:_______________
Is this a solicitation?
Yes
No
Gave in Fiscal years (DD-MM-YYYY) ________ to _________
Gave to department……………………………………
Gave to University………………………………………
Include
Additional Comments
Email the completed form to [email protected]
For Information Services Use Only:
Date Completed: ______________ Completed By: ________________
Final Count: __________ File Name: ______________________
Notes: ______________________________________________________________________________
Michigan Technological University Information Services
Form Updated: March 25, 2015
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