Online Giving

Thank you for your support of the Northwestern Health Sciences University's Capital Campaign.

You may make a credit card gift with your credit card using the form below. If you prefer to make a gift over the phone, please call the Office of Alumni, Development and Career Services at (800/952) 888-4777, ext. 237.

GIFT INFORMATION

Yes, I would like to support Northwestern's "Imagine Our Future" Capital Campaign with a one-time gift for the following amount:

Enter Gift Amount Here:	$
	If this gift is a payment on a previous pledge, please check here.
	This is a joint gift. Spouse's name:
	My employer has a matching gift program. I will send the appropriate form for processing. To find out if your company or your spouse's company matches gifts, contact the company's human resources department or check this online company search. Company's Name:

Yes, I would like to make a pledge to support Northwestern's "Imagine Our Future" Capital Campaign. No payment will be processed. Please have a University representative contact me to arrange my method of payment.

Enter Pledge Amount Here:

Please send me a reminder:

Annually Semi-annually Quarterly Monthly

Please use the space below to provide comments or instructions about your gift, to designate your gift to a specific priority. Thank you!

Comments:

GIFT DESIGNATION

Give to the Capital Campaign

All donations to the following giving categories will go to support the Capital Campaign.

University Founders
$5,000 annual gift or $50,000 irrevocable planned gift

President's Circle
$1,000 annual gift

Northwestern Champions
Please indicate which Northwestern Champions level you would like to join.

Platinum: $750-$999 annual gift
Gold : $500-$749 annual gift
Silver: $250-$499
Bronze: Up to $249 annual gift

Guardian's Circle
Please indicate if you have included or are planning to include the University in your will or trust. Yes No

Northwestern Scholarship Programs

The Stewards Program

$500 annual gift. Please indicate which Stewards Program you would like to join. The Stewards Program is designed to provide donors with the opportunity to support scholarships for students from a specific program, i.e Chiropractic Steward giving will be used to support Northwestern College of Chiropractic student scholarships:

University Steward
Chiropractic Steward
Acupuncture and Oriental Medicine Steward
Massage Therapy Steward
Research Steward

Heritage Scholarships

Heritage Scholarships honor members of the Northwestern community and are established by individuals and families as a permanent legacy or memorial to that person

Dr. Jeffrey Jones Scholarship
Dr. Norman Horns Faculty Legacy Scholarship
Dr. Vincent A. Pankratz Memorial Scholarship
Joel Demoskoff Memorial Scholarship
The Robert and Joey Crotteau Memorial Scholarship
The Dr. Ronald R. Bubel Memorial Scholarship
Clinical Education Excellence Scholarship
Healy Family Memorial Scholarship
Northwestern Champions

Additional Giving Programs

Remembrance Fund
Dr. Alfred and Ann Traina Mission Fund

Personal Information

First Name:
Last Name:
Street Address:
City:
State:		Zip
Phone Number:
Email:
Date of Birth: (mm/dd/yyyy)