Langston University Annual Giving Campaign

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Donation Amount

Appeal

Special Designations

Total

$0.00

My company will match charitable contributions

If yes, please list the name of the company:

Please list the city and state of the company:

Please list a phone number for the company:

Donor Type

Prefix

Name

Address

Phone Number

Affiliation

If alumni, please list graduation year:

How did you hear about the Langston University Foundation?

If other, please describe:

Name

Credit Card

Address

Mobile Phone Number