(Please Print and Send to Address Below)

UMD AMERICAN INDIAN/ALASKAN NATIVE COMMUNITY VOLUNTEER SCHOLARSHIP

DONATION FORM

All donations are Tax Deductable

 


 

 

 

Name________________________________________________________________________

 

Address_______________________________________________________________________

 

City___________________________ State_______________ Zip Code____________________

 

Amount of Donation $_______________________________

Please make Checks Payable to : AILRC

 

Send Donations to:

UMD American Indian Learning Resource Center
1208 Kirby Drive
315 Kirby Plaza
Duluth, MN 55812-3095