Please complete the information below for the Planting Partnership Program. All information provided
is confidential and will be processed by university staff members only.

Name

Address

City State Zip

Phone Number Cell Number

E-mail

How did you hear about the Planting Partnership Program?

University Faculty/Staff member Friend Website Other

Planting Choices (Click on Contribution Link to see what is available.)

Gift Choice #1 Gift Choice #2

Total cost: *This is tax deductible

My contribution is:

In Honor of: In Memory of: Other:

Please send acknowledgement information to:

Name

Address

City State Zip

Phone Number

Please make checks payable to: Kent State University Foundations. You can print this completed form
and mail with your enclosed payment to:

KSU Foundation
Kent State University
P.O. Box 5190
Kent, OH 44242-0001
 (330) 672-2222

Thank you for participating in the Planting Partnership Program.
_______________________________________________________________________________________

Questions or comments can be directed to Heather White
Page last modified on 8-24-07 by DD