University of Kansas
Center for Russian, East European & Eurasian Studies
Gift Form

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Please complete information on this form and mail with check or credit card information to:

Center for Russian, East European & Eurasian Studies
University of Kansas
320 Bailey Hall, 1440 Jayhawk Blvd.
Lawrence, Kansas 66045-7574

Enclosed is my contribution of:

___ $250  ___$500   ___ $5,000   ___$10,000  ___$Other_____

My preferred endowment:

___ Yes, I want to support the George Jerkovich Fund for Croatian Studies
___ Yes, I want to support the Roy Laird Fund
___ Yes, I want to support the CREES General Fund

Method of Payment:

___ Enclosed is a check made out to the University of Kansas Endowment.

Charge my gift to:   ___ Visa     ___MasterCard     ___ AmEx    ___ Discover

Account Number: _________________________________

Exp. Date: ____________   

Signature: _____________________________

___  Securities: contact

May we publicly acknowledge your name(s) in our newsletters and other publications?

___ Yes, please list name(s) as: ___________________________________

___  No, please list as an anonymous donor.

___  My employer/spouse's employer will match my gift. The form is enclosed.

My Name ______________________________________________________________

Address _______________________________________________________________

City ________________________________________  State ______   Zip __________

Your gifts are tax-deductible as allowed by law. Thank you for supporting CREES.