You are on page 1of 1

Jadavpur University Alumni Association Print Form Save & Email

Washington Metropolitan Area


12880 Williams Meadow Ct Herndon, VA 20171 www.jugraduates.org Reset Form

Donation Receipt

Received with thanks from:

Last Name:

First Name:

Department: Year:

Address:

City: State: Zip Code:

Home Phone: Alt Phone :

Email:

Contribution Details:

Amount: Description:

Amount: Description:

Amount: Description:

Total:

Received By:

Signature : Date:

Name :

Designation :

JU Alumni Association is IRS Approved ( Section 501-C ) Non-Profit Organization. Charitable contributions are tax deductible FEIN: 52-1939414

Submitted By:
(Name of the Referrer or Member)

You might also like