First Name:
Last Name:
Name of Spouse:
Address:
City: State: Zip:
Phone:
E-mail:

Relationship to St. Bernard's:
Student Alumnus Trustee/Staff
Other (please note: )

Gift Information:

I/we wish to make an gift online:
Annual Fund - Amount: $
Other - Amount: $
Please note any additional gift information below:

For more information about Planned Giving or

other gift opportunities, please contact

Laura Hamilton, Director of Advancement.

Memorial/Honor Gifts:

Indicate if this donation is made "In honor of" or
"In memory of" an individual:
In memory of     In honor of
Name:
Tell us about the person being honored or memorialized:

Indicate here if you would like us to notify the honoree or a family member of the person being memorialized.
Contact information for notification purposes:

Employer Match:

Please check if this gift is matched by your employer:
Employer Name:
Please mail matching gift forms to:
Advancement Office
120 French Rd.
Rochester, NY 14618

Donor Recognition:

I would prefer this gift remain anonymous
I would like to be listed in the Donor Recognition Report. Please indicate how you would like your name listed:

Payment Information:

Online giving requires payment by credit card

Amount of today's gift: $

If mailing gift, please send to:
St. Bernard's School of Theology and Ministry
Advancement Office
120 French Rd.
Rochester, NY 14618