Central State University
Class of 1974
 
I am donating a monetary gift to the Central State University Foundation as a member of the Class of 1974.
 
(Please print form, fill out, and mail)
 
Name:    ______________________________________                                      
Address: ______________________________________
                ______________________________________
City:        _________________________ State ___   Zip Code __________
 
Please Check Donation Amount
 
☐  $ 1,000.00
☐  $     500.00
☐  $     250.00
☐  $     100.00
☐  $     ______
 
Make check payable to:                CSU Foundation
In the Memo Section write:         The Class of 1974
 
Mail check to:                                Central State University
                                                        Attention: Anthony Fairbanks
                                                        1400 Brush Row road
                                                        P.O. Box 1004
                                                        Wilberforce, Ohio 45384
 
You can also pay online; however, there is no way to designate your donation as a gift from the class of 1974.  Please use this form and send a check in.