Mailing List & Data Request Form

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SALUTATIONSALUTATION #1 (Mr. and Mrs. John B. Smith, Jr.)SALUTATION #2 (Mr. John and Mrs. Ellen Smith)SALUTATION #3 (John B. Smith, Jr.)SALUTATION #4 (John Smith ’80)OTHER SALUTATION: ________________________________________________________ADDRESS/PHONEHOME ADDRESSBUSINESS ADDRESSPREFERRED ADDRESSHOME PHONEBUSINESS PHONEE-MAILOTHER: ________________________________________________________________________INDIVIDUALS / ALUMNIEDUCATION INFOCOLLEGECLASS OFDEGREEMAJOREMPLOYMENT INFO(Self-reported; may not be up to date.)SPOUSESCOMBINE SPOUSESDO NOT COMBINE SPOUSESOTHER: ________________________________________________________________________COMPANIES/ORGANIZATIONSPRIMARY CONTACTSECONDARY CONTACTINCLUDE SALUTATIONOTHER: ________________________________________________________________________
GIVING INFORMATION REQUESTEDCURRENT FISCAL YEARSPECIFIC GIVING PERIOD:FROM: _________________________ TO:_________________________TOTAL LIFETIME GIVINGCOMBINE SPOUSE GIVINGINCLUDE SOFT CREDITSINCLUDE MATCHING GIFTSOTHER CRITERIA: ________________________________________________________________________GIFT REQUIREMENTS: (Parameters for search; i.e. I want donors who have given gifts of $1,000)MAX GIFT AMT: $ ____________________MIN GIFT AMT: $ ____________________COPY OF INVITATION-LETTER-ANNOUNCEMENT orOTHER DOCUMENTATION IS ATTACHED(<strong>Request</strong> can not be processed without documentation)INTERNAL USE ONLYANNUAL GIVING: __________________________ DATE: ____________________ALUMNI RELATIONS: __________________________COMMUNICATIONS: __________________________DATE: ____________________DATE: ____________________ADV SERVICES: __________________________ COMPLETION DATE: ____________
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Mailing List & Data Request Form

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