Donor Information
First Name
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Middle Name
Last Name
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Street Address
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City
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State
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Zip
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Email Address
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Mobile Phone
Payment Method
One-time Payment
Payroll Deduction (MVCC Employees Only)
Amount Per Pay Period
$
Number of Pay Periods (Max 24)
#
Donation
This gift is designated for:
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Areas of Greatest Need
Student Support Funding
Campus Enhancements (Rome)
Campus Enhancements (Utica)
Other/Existing Scholarship or Program
Other designation
Total Amount
$
Credit or debit card
Yes, you may use my name in the campaign report and donor recognition.
Yes, I am interested in planned and deferred gift information.
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