. 
MEMORIALS/HONORS & DONATIONS
.
If you would like to make a memorial, honor or donation to the
Christian Student Center, Emporia Church of Christ,
simply print this page, fill out the information and mail it to us with your check.
                    We want to help spread the Gospel at Emporia State University

I (we) am enclosing a gift of $ ___________.                        __ This is an anonymous donation. 

I (we) will be sending $ _________ monthly. 

NAME: ____________________ ADDRESS: _________________________________ 

CITY/STATE/ZIP: ____________________________________ 
                                          Memorials and Honors

In Memory of________________________________________ 
 City, State ________________________________ 

In Honor of _________________________________________ 
City/State __________________________________ 
              Birthday____   Graduation____    Anniversary____  Other:_________ 

Send Card To:  Name ________________ Address _____________________________ 
City/State/Zip ______________________________________ 

Given By: Name _________________ Address ________________________________ 
 City/State/Zip ___________________________ 
                                                                                   __ This is an anonymous memorial/honor.
Gift of $__________ 

Please send this form to: Christian Student Center, c/o Emporia Church of Christ, P.O. Box 572, Emporia, KS 66801

If you would like to receive periodic e-mail updates of activities, print your e-mail address below.
e-mail: ________________________________________________

Return to the Student Center Page

Created 02-05-04
URL: http://EmporiaChurchofChrist.i8.com/mem_don.html