Washburn Law Dean's Circle Donation Form

Print and complete this form. Mail it with your check or credit card information to:

Washburn University School of Law
Advancement Office
1700 SW College Ave.
Topeka, KS 66621-1140

Name:     ______________________________________________

Class of: _________

My personal pledge is $_____________

Company firm match $_____________ Total $_____________

___ Contribution enclosed.
    Please make checks payable to:
    Washburn Law School Foundation

CREDIT CARD INFORMATION

Charge $_______________ to Visa / MasterCard / Discover / Am Ex

Credit Card #: _______________________________  Exp. Date ______________

Name as it appears on card _____________________________________________

Signature: _____________________________________________________________

Dean's Circle levels:

Presidents Club.... $1,000* - $2,499
Delmas Hill........ $2,500 - $4,999
Advisor............ $5,000 - $9,999
Centennial Club... $10,000+

* Graduates of nine years or less are members for a gift of $100
multiplied by the numbers of years out of Washburn Law.