Joint Gift with: __________________________ Memorial:

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Joint Gift with:
__________________________
Memorial:
__________________________
*Be advised that mailed Credit Card Transactions must be received by the Advancement Office on or before December 19th
in order to be processed by December 31 and utilized as a tax deduction for calendar year 2011.
Print, enter your information, and mail to:
If you have questions about this form, please contact us at 859-257-9395 between the hours of 8:00 a.m. and 5:00 p.m.(EST)
Monday-Friday or by emailing us at development@engr.uky.edu.
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