MAC Donate Form

Donation Amount *

USD Donation Amount

My gift is anonymous.

Choose a Campaign / Purpose

Annual Fund ~ Supporting Student Success Memorial Gift (please indicate the name of the person being memorialized below) Honorary Gift (please indicate the name of the person being honored below)

Gift Designation

Annual Fund - Need-based Scholarships and Financial Assistance. Annual Fund - Campus Life Endowed Scholarship (Please indicate fund name in the optional message field) – For a list and details visit http://www.mtaloy.edu/financial-aid/scholarships-list/. If you would like to endow a scholarship, contact Institutional Advancement at 814-886-6396 Other (please indicate fund name in the optional message field)

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Optional Message (Include Name of Person for Honorary/Memorial Gifts)