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UCLA Lab School
Friday, May 10, 2013, 8:30-11:00 a.m.
Drake Stadium, UCLA

The Family School Alliance's annual fund-raiser for school field-trips, celebrating fitness and community at UCLA Lab School.

Please indicate which student you are sponsoring in the Gift Options section by checking the Tribute Gift box and then selecting “in honor of” and providing the student name in the Person or Occasion text box. This will allow us to credit the student athlete you are supporting. Thank you for sponsoring our students and the UCLA Lab School Jog-a-thon.



Required fields are indicated with an asterisk (*).


If you have any questions about this donation, please call the UCLA Lab School Development Office, 310/825-1996.
Your contribution to UCLA Lab School is greatly appreciated!
*I would like to make a new gift of   Other $


Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
UCLA graduation year(s):

Spouse/Partner
  Name:  
  UCLA graduation year(s):

Joint Gift
* This is a joint gift with
my spouse/partner
:

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
Business telephone:

* E-mail address:
* This e-mail is my:

Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
 
Payment method:
I am the parent of a current UCLA student
  Student name:
  Anticipated graduation year:
I am interested in learning more about how I can include UCLA in my estate plan.
This gift is anonymous.
 
Comments: